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临终时的疼痛挑战——疼痛与姑息治疗协作

Pain Challenges at the End of Life - Pain and Palliative Care Collaboration.

作者信息

Platt Michael

机构信息

Consultant in Pain Medicine and Anaesthesia Imperial College Healthcare NHS Trust, St Mary's Hospital, Praed Street, London W2 1NY.

出版信息

Rev Pain. 2010 Oct;4(2):18-23. doi: 10.1177/204946371000400205.

DOI:10.1177/204946371000400205
PMID:26527076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4590058/
Abstract

Pain and symptom management at the end of life remains suboptimal.Pain physicians are uniquely placed to provide interventions for patients with difficult to manage pain.Interventions such as acupuncture, radiofrequency ablation, neurolysis together with regional analgesia including neuraxial techniques and spinal cordotomy may provide the patient with improved analgesia.

摘要

临终时的疼痛和症状管理仍未达到最佳状态。疼痛科医生在为疼痛难以控制的患者提供干预措施方面具有独特的地位。诸如针灸、射频消融、神经松解术等干预措施,以及包括神经轴技术和脊髓切开术在内的区域镇痛,可能会为患者提供更好的镇痛效果。

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本文引用的文献

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Adenosine A1 receptors mediate local anti-nociceptive effects of acupuncture.腺苷 A1 受体介导针刺的局部抗伤害效应。
Nat Neurosci. 2010 Jul;13(7):883-8. doi: 10.1038/nn.2562. Epub 2010 May 30.
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Requests for euthanasia in general practice before and after implementation of the Dutch Euthanasia Act.荷兰安乐死法案实施前后一般实践中的安乐死请求。
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Drug therapy of pain in cancer.癌症疼痛的药物治疗
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From margins to centre: a review of the history of palliative care in cancer.从边缘到中心:癌症姑息治疗历史回顾
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Antinociception by spinal and systemic oxycodone: why does the route make a difference? In vitro and in vivo studies in rats.脊髓和全身应用羟考酮的镇痛作用:为何给药途径会产生差异?大鼠的体外和体内研究
Anesthesiology. 2006 Oct;105(4):801-12. doi: 10.1097/00000542-200610000-00027.
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Pulsed radiofrequency of the dorsal root ganglia is superior to pharmacotherapy or pulsed radiofrequency of the intercostal nerves in the treatment of chronic postsurgical thoracic pain.在治疗慢性术后胸痛方面,背根神经节脉冲射频优于药物治疗或肋间神经脉冲射频。
Pain Physician. 2006 Jul;9(3):227-35.
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Pulsed mode radiofrequency lesioning of the suprascapular nerve for the treatment of chronic shoulder pain.脉冲模式射频毁损肩胛上神经治疗慢性肩部疼痛
Pain Physician. 2003 Oct;6(4):503-6.