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结论:使用神经性疼痛量表对5%利多卡因贴剂进行慢性疼痛研究。

Conclusions: chronic pain studies of lidocaine patch 5% using the Neuropathic Pain Scale.

作者信息

Argoff Charles E

出版信息

Curr Med Res Opin. 2004;20 Suppl 2:S29-31. doi: 10.1185/030079904X12979.


DOI:10.1185/030079904X12979
PMID:15563744
Abstract

Many chronic pain patients have multiple etiologies for their pain, and accurate characterization of pain qualities and pain relief is essential for managing their pain. The ability to utilize a validated tool for assessing pain qualities and for identifying unique analgesic therapy effects on different pain qualities may assist clinicians in devising an appropriate treatment regimen. The Neuropathic Pain Scale (NPS) is a novel pain metric for characterizing pain in 10 dimensions. The ability to differentiate among pain qualities for each patient may result in a more refined and effective choice of therapy. The three research articles in this Supplement demonstrate the utility of the NPS in chronic pain patients treated with the lidocaine patch 5%, a peripherally acting medication that is not associated with systemic accumulation of the active drug. Significant reduction in the intensity of commonly reported pain qualities in patients with neuropathic and non-neuropathic chronic pain due to low-back pain, osteoarthritis, post-herpetic neuralgia, and painful diabetic neuropathy were achieved. The NPS offers clinicians a reliable means to accurately identify pain qualities associated with each individual patient and to target and assess the efficacy of various therapeutic options on those pain components. Utilizing the NPS, the lidocaine patch 5% was effective in treating chronic pain of both neuropathic and non-neuropathic origins suggesting that a given treatment's effect on various pain qualities may be consistent across pain types.

摘要

许多慢性疼痛患者的疼痛有多种病因,准确描述疼痛性质和疼痛缓解情况对于管理他们的疼痛至关重要。使用经过验证的工具来评估疼痛性质以及识别独特的镇痛疗法对不同疼痛性质的影响,可能有助于临床医生制定合适的治疗方案。神经病理性疼痛量表(NPS)是一种用于从10个维度描述疼痛的新型疼痛指标。能够区分每个患者的疼痛性质,可能会带来更精确、有效的治疗选择。本增刊中的三篇研究文章证明了NPS在接受5%利多卡因贴剂治疗的慢性疼痛患者中的实用性,5%利多卡因贴剂是一种外周作用药物,与活性药物的全身蓄积无关。对于因腰痛、骨关节炎、带状疱疹后神经痛和糖尿病性神经病变性疼痛导致的神经病理性和非神经病理性慢性疼痛患者,常见报告的疼痛性质强度显著降低。NPS为临床医生提供了一种可靠的方法,以准确识别与每个患者相关的疼痛性质,并针对这些疼痛成分靶向评估各种治疗选择的疗效。使用NPS,5%利多卡因贴剂在治疗神经病理性和非神经病理性起源的慢性疼痛方面均有效,这表明给定治疗对各种疼痛性质的影响在不同疼痛类型中可能是一致的。

相似文献

[1]
Conclusions: chronic pain studies of lidocaine patch 5% using the Neuropathic Pain Scale.

Curr Med Res Opin. 2004

[2]
Introduction: chronic pain studies of the lidocaine patch 5% using the Neuropathic Pain Scale.

Curr Med Res Opin. 2004

[3]
Effectiveness of the lidocaine patch 5% on pain qualities in three chronic pain states: assessment with the Neuropathic Pain Scale.

Curr Med Res Opin. 2004

[4]
Lidocaine patch 5% and its positive impact on pain qualities in osteoarthritis: results of a pilot 2-week, open-label study using the Neuropathic Pain Scale.

Curr Med Res Opin. 2004

[5]
Use of the lidocaine patch 5% in reducing intensity of various pain qualities reported by patients with low-back pain.

Curr Med Res Opin. 2004

[6]
Assessment of pain quality in chronic neuropathic and nociceptive pain clinical trials with the Neuropathic Pain Scale.

J Pain. 2005-2

[7]
Lidocaine 5% patch for localized chronic neuropathic pain in adolescents: report of five cases.

Paediatr Anaesth. 2008-6

[8]
Lidocaine 5% patch: an open-label naturalistic chronic pain treatment trial and prediction of response.

Pain Med. 2006

[9]
Topical lidocaine patch 5% may target a novel underlying pain mechanism in osteoarthritis.

Curr Med Res Opin. 2004-9

[10]
Skin biopsy and quantitative sensory testing do not predict response to lidocaine patch in painful neuropathies.

Muscle Nerve. 2006-1

引用本文的文献

[1]
Afferent drive elicits ongoing pain in a model of advanced osteoarthritis.

Pain. 2012-3-2

[2]
Ongoing pain in the MIA model of osteoarthritis.

Neurosci Lett. 2011-1-15

[3]
Cost effectiveness of a lidocaine 5% medicated plaster compared with pregabalin for the treatment of postherpetic neuralgia in the UK: a Markov model analysis.

Clin Drug Investig. 2010

[4]
Topical 5% lidocaine (lignocaine) medicated plaster treatment for post-herpetic neuralgia: results of a double-blind, placebo-controlled, multinational efficacy and safety trial.

Clin Drug Investig. 2009

[5]
Use of a lidocaine patch in the management of postsurgical neuropathic pain in patients with cancer: a phase III double-blind crossover study (N01CB).

Support Care Cancer. 2009-4

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