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通过植入式微型泵给予蛛网膜下腔丁丙诺啡。

Subarachnoid buprenorphine administered by implantable micropumps.

作者信息

Francaviglia N, Silvestro C, Carta F, Davini V, Perria C, Scaricabarozzi I, Cipolla P V

机构信息

Clinica Neurochirurgica, Università di Genova, Italy.

出版信息

Acta Neurochir (Wien). 1990;102(1-2):62-8. doi: 10.1007/BF01402188.

DOI:10.1007/BF01402188
PMID:2305652
Abstract

This report concerns 23 patients, the majority of whom are suffering from low back and chest pain caused by chest, urological or gynaecological cancer. These patients were treated with subarachnoid buprenorphine, administered in a single bolus or by slow infusion from micropumps, at a daily dose adapted to patients need (0.06-0.15 mg). The painful symptomatology was successfully controlled in all the cases treated, allowing the patients to live a virtually normal life. In no cases was respiratory depression or tolerance observed.

摘要

本报告涉及23名患者,其中大多数人患有由胸部、泌尿系统或妇科癌症引起的腰背痛和胸痛。这些患者接受了蛛网膜下腔注射丁丙诺啡治疗,通过单次推注或微量泵缓慢输注,每日剂量根据患者需求调整(0.06 - 0.15毫克)。所有接受治疗的病例中,疼痛症状均得到成功控制,使患者能够过上几乎正常的生活。未观察到呼吸抑制或耐受性的情况。

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本文引用的文献

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A comparative study of intramuscular buprenorphine and morphine in the treatment of chronic pain of malignant origin.肌肉注射丁丙诺啡与吗啡治疗恶性肿瘤所致慢性疼痛的对比研究
Br J Clin Pharmacol. 1982 Apr;13(4):487-92. doi: 10.1111/j.1365-2125.1982.tb01409.x.
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[A double-blind comparison of epidural buprenorphine and epidural morphine in postoperative pain (author's transl)].
Anasth Intensivther Notfallmed. 1981 Dec;16(6):333-9.
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Chronic analgesic study on buprenorphine action in cancer pain. Comparison with pentazocine.丁丙诺啡对癌症疼痛作用的慢性镇痛研究。与喷他佐辛的比较。
Arzneimittelforschung. 1983;33(4):587-90.
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Intrathecal administration of hyperbaric morphine for the relief of pain in labour.鞘内注射高压吗啡用于缓解分娩疼痛。
Br J Anaesth. 1984 Dec;56(12):1351-60. doi: 10.1093/bja/56.12.1351.
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Spinal fluid kinetics of morphine and heroin.吗啡和海洛因的脑脊液动力学
Clin Pharmacol Ther. 1984 Jan;35(1):40-5. doi: 10.1038/clpt.1984.6.
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[Comparative study of buprenorphine and morphine for pain control in the immediate postoperative period by peridural administration].硬膜外给药用于术后即刻镇痛的丁丙诺啡与吗啡的对比研究
Minerva Anestesiol. 1984 Dec;50(12):607-14.
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Epidural buprenorphine for pain relief after major abdominal surgery. A controlled comparison with epidural morphine.硬膜外注射丁丙诺啡用于腹部大手术后的镇痛:与硬膜外注射吗啡的对照比较
Anaesthesia. 1983 Aug;38(8):760-4. doi: 10.1111/j.1365-2044.1983.tb12199.x.
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Intrathecal and epidural administration of opioids.阿片类药物的鞘内和硬膜外给药。
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Cancer pain relief using chronic morphine infusion. Early experience with a programmable implanted drug pump.使用慢性吗啡输注缓解癌痛。可编程植入式药物泵的早期经验。
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Epidural opiates: long-term experiences in cancer pain.硬膜外使用阿片类药物:癌症疼痛的长期经验
Klin Wochenschr. 1985 Mar 1;63(5):225-9. doi: 10.1007/BF01731174.