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三环类抗抑郁药用于疼痛管理的新进展。

New developments in the use of tricyclic antidepressants for the management of pain.

作者信息

Cohen S P, Abdi S

机构信息

Walter Reed Army Medical Center, Pain Management Center, Washington, District of Columbia 20307, USA.

出版信息

Curr Opin Anaesthesiol. 2001 Oct;14(5):505-11. doi: 10.1097/00001503-200110000-00008.

DOI:10.1097/00001503-200110000-00008
PMID:17019138
Abstract

In recent years, tricyclic antidepressant drugs have experienced a resurgence in their use as valuable pharmacological tools in the treatment of pain. Along with the evolution in our understanding of their analgesic mechanisms of action, there have been concurrent breakthroughs regarding their indications for use and modes of administration. This review focuses on recent advances in our understanding of how antidepressant drugs exert their antinociceptive effects, and new developments regarding their clinical application.

摘要

近年来,三环类抗抑郁药作为治疗疼痛的重要药理学工具,其使用再度兴起。随着我们对其镇痛作用机制认识的不断发展,在其使用指征和给药方式方面也同时取得了突破。本综述聚焦于我们对抗抑郁药物如何发挥其抗伤害感受作用的最新认识进展,以及其临床应用的新发展。

相似文献

1
New developments in the use of tricyclic antidepressants for the management of pain.三环类抗抑郁药用于疼痛管理的新进展。
Curr Opin Anaesthesiol. 2001 Oct;14(5):505-11. doi: 10.1097/00001503-200110000-00008.
2
Antidepressants in cancer pain.癌症疼痛中的抗抑郁药。
J Palliat Care. 1991 Winter;7(4):42-4.
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Antidepressants and pain.抗抑郁药与疼痛。
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Participation of opioid and monoaminergic mechanisms on the antinociceptive effect induced by tricyclic antidepressants in two behavioural pain tests in mice.阿片类和单胺能机制在三环类抗抑郁药诱导的小鼠两种行为性疼痛试验的抗伤害感受作用中的参与情况。
Prog Neuropsychopharmacol Biol Psychiatry. 1994 Oct;18(6):1073-92. doi: 10.1016/0278-5846(94)90132-5.
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Utilization and mechanism of action of tricyclic antidepressants in the treatment of chronic facial pain: a review of the literature.三环类抗抑郁药在慢性面部疼痛治疗中的应用及作用机制:文献综述
Anesth Prog. 1990 Sep-Oct;37(5):223-9.
6
Analgesic effect of antidepressant drugs.抗抑郁药物的镇痛作用。
Pharmacol Biochem Behav. 1998 Feb;59(2):331-8. doi: 10.1016/s0091-3057(97)00336-5.
7
A randomized, within-patient, cross-over, placebo-controlled trial on the efficacy and tolerability of the tricyclic antidepressants chlorimipramine and nortriptyline in central pain.一项关于三环类抗抑郁药氯米帕明和去甲替林治疗中枢性疼痛的疗效和耐受性的随机、患者内、交叉、安慰剂对照试验。
Acta Neurol Scand. 1990 Jul;82(1):34-8. doi: 10.1111/j.1600-0404.1990.tb01584.x.
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Antidepressants and pain: a review of the pharmacological data supporting the use of certain tricyclics in chronic pain.抗抑郁药与疼痛:支持某些三环类药物用于慢性疼痛的药理学数据综述
J Int Med Res. 1977;5(1 Suppl):146-56.
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Influence of naloxone on the antinociceptive effects of some antidepressant drugs.纳洛酮对某些抗抑郁药物镇痛作用的影响。
Arch Int Pharmacodyn Ther. 1985 May;275(1):78-85.
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[Antidepressants consumption in the global population in France].[法国全球人口中的抗抑郁药消费情况]
Encephale. 2002 Sep-Oct;28(5 Pt 1):411-7.

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Efficacy, acceptability, and safety of antidepressants for low back pain: a systematic review and meta-analysis.抗抑郁药治疗腰痛的疗效、可接受性和安全性:系统评价和荟萃分析。
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Is low-dose amitriptyline effective in the management of chronic low back pain? Study protocol for a randomised controlled trial.
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Evaluation of the efficacy of intrathecal injection of amitriptyline and doxepin in spinal anesthesia in comparison with bupivacaine in rats.与布比卡因相比,评估阿米替林和多塞平鞘内注射在大鼠脊髓麻醉中的疗效。
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Antidepressants for non-specific low back pain.用于非特异性腰痛的抗抑郁药。
Cochrane Database Syst Rev. 2008 Jan 23;2008(1):CD001703. doi: 10.1002/14651858.CD001703.pub3.
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Doxepin has a potent and long-acting spinal anesthetic effect in rats.多塞平在大鼠中具有强效且长效的脊髓麻醉作用。
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