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疼痛的药物治疗:未来趋势与新见解。

Pharmacological treatment of pain: future trends and novel insights.

机构信息

Institute of Experimental and Clinical Pharmacology, University Hospital Schleswig-Holstein, Campus Kiel, Germany.

出版信息

Clin Pharmacol Ther. 2015 Feb;97(2):104-8. doi: 10.1002/cpt.25.

DOI:10.1002/cpt.25
PMID:25670508
Abstract

The pharmacological treatment of chronic pain is generally hampered by a limited clinical outcome. Hence, there is a strong need for new therapeutic concepts considering the identification of novel targets and related drugs, but also optimization of established therapeutic regimes through individualization. In this issue, focused on "Pain," we discuss some of the recent new concepts in pain treatment, understanding of pain heterogeneity, and subsequent optimization of analgesic treatment, but also novel insights into interactions of nonopioids.

摘要

慢性疼痛的药物治疗通常受到临床疗效有限的阻碍。因此,鉴于需要确定新的靶点和相关药物,以及通过个体化优化既定治疗方案,强烈需要新的治疗理念。在本期聚焦“疼痛”的专题中,我们讨论了疼痛治疗的一些最新新概念、对疼痛异质性的理解以及随后的镇痛治疗优化,还探讨了非阿片类药物相互作用的新见解。

相似文献

1
Pharmacological treatment of pain: future trends and novel insights.疼痛的药物治疗:未来趋势与新见解。
Clin Pharmacol Ther. 2015 Feb;97(2):104-8. doi: 10.1002/cpt.25.
2
[Management of chronic pain in the future].[未来慢性疼痛的管理]
Rev Prat. 2013 Jun;63(6):813-5.
3
Acupuncture for chronic pain? Clinical wisdom undecided despite over 4000 years of practice.针灸治疗慢性疼痛?尽管已有四千多年的实践,但临床经验仍未定论。
Am J Med. 2015 Apr;128(4):331-3. doi: 10.1016/j.amjmed.2014.10.042. Epub 2014 Nov 22.
4
Future Directions in Pain Management: Integrating Anatomically Selective Delivery Techniques With Novel Molecularly Selective Agents.疼痛管理的未来方向:将解剖学选择性给药技术与新型分子选择性药物相结合。
Mayo Clin Proc. 2016 Apr;91(4):522-33. doi: 10.1016/j.mayocp.2016.02.015.
5
Biologics in the treatment of chronic pain: a new era of therapy?生物制剂治疗慢性疼痛:治疗新时代?
Clin Pharmacol Ther. 2015 Feb;97(2):122-4. doi: 10.1002/cpt.20. Epub 2014 Dec 15.
6
Pharmacogenetics and pain management: an opportunity to advance personalized patient care.
MLO Med Lab Obs. 2014 Feb;46(2):9, 11.
7
Targeting Epigenetic Mechanisms for Chronic Pain: A Valid Approach for the Development of Novel Therapeutics.针对慢性疼痛的表观遗传机制:开发新型疗法的有效途径。
J Pharmacol Exp Ther. 2016 Apr;357(1):84-93. doi: 10.1124/jpet.115.231670. Epub 2016 Jan 19.
8
[Exploiting placebo and nocebo effects in patients with chronic pain].[利用安慰剂和反安慰剂效应治疗慢性疼痛患者]
Dtsch Med Wochenschr. 2015 Oct;140(21):1630-2. doi: 10.1055/s-0041-106988. Epub 2015 Oct 21.
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The appropriate treatment of chronic pain.慢性疼痛的适当治疗。
Clin Drug Investig. 2012 Feb;32 Suppl 1:21-33. doi: 10.2165/11630050-000000000-00000.
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Should placebo be used routinely for chronic pain in older people?安慰剂是否应常规用于老年人的慢性疼痛?
Maturitas. 2014 Dec;79(4):389-400. doi: 10.1016/j.maturitas.2014.09.006. Epub 2014 Sep 30.

引用本文的文献

1
Clinical Pharmacology & Therapeutics: Past, Present, and Future.临床药理学与治疗学:过去、现在与未来。
Clin Pharmacol Ther. 2017 Mar;101(3):300-303. doi: 10.1002/cpt.592.