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疼痛性和非疼痛性化疗相关神经病变的基础科学与临床管理

Basic science and clinical management of painful and non-painful chemotherapy-related neuropathy.

作者信息

Kim Joyce H, Dougherty Patrick M, Abdi Salahadin

机构信息

Department of Pain Medicine, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, United States.

Department of Pain Medicine, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, United States.

出版信息

Gynecol Oncol. 2015 Mar;136(3):453-9. doi: 10.1016/j.ygyno.2015.01.524. Epub 2015 Jan 10.

Abstract

Chemotherapy-induced peripheral neuropathy (CIPN) is a dose-limiting toxicity of several chemotherapeutics used in the treatment of all the most common malignancies. There are several defined mechanisms of nerve damage that take place along different areas of the peripheral and the central nervous system. Treatment is based on symptom management and there are several classes of medications found to be efficacious in the treatment of neuropathic pain. Neuropathic pain that persists despite appropriate pharmacotherapy may respond to interventional procedures that span a range of invasiveness. The purpose of this review article is to examine the basic science of neuropathy and currently available treatment options in the context of chemotherapy induced peripheral neuropathy.

摘要

化疗引起的周围神经病变(CIPN)是用于治疗所有最常见恶性肿瘤的几种化疗药物的剂量限制性毒性。在周围神经系统和中枢神经系统的不同区域存在几种已明确的神经损伤机制。治疗基于症状管理,并且发现有几类药物在治疗神经性疼痛方面有效。尽管进行了适当的药物治疗但仍持续存在的神经性疼痛可能对一系列侵入性不同的介入治疗有反应。这篇综述文章的目的是在化疗引起的周围神经病变的背景下研究神经病变的基础科学和当前可用的治疗选择。

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