Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, 4010 Old Clinic Building, CB 7570, Chapel Hill, NC, 27599-7570, USA.
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Drugs. 2017 Mar;77(3):285-301. doi: 10.1007/s40265-016-0687-8.
Chronic pelvic pain (CPP) is a multifaceted condition that often has both peripheral and central generators of pain. An understanding of neurobiology and neuropsychology of CPP should guide management. Successful treatment of CPP is typically multimodal, and pharmacologic treatment strategies include analgesics, hormonal suppression, anesthetics, antidepressants, membrane stabilizers, and anxiolytics. Evidence for these and other emerging pharmacologic therapies is presented in this article.
慢性盆腔痛(CPP)是一种多方面的病症,常伴有外周和中枢疼痛发生器。对 CPP 的神经生物学和神经心理学的理解应指导其管理。CPP 的成功治疗通常是多模式的,药物治疗策略包括镇痛药、激素抑制、麻醉剂、抗抑郁药、膜稳定剂和抗焦虑药。本文介绍了这些和其他新兴药物治疗的证据。