• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

女性慢性盆腔疼痛的药物治疗。

Pharmacological Management of Chronic Pelvic Pain in Women.

机构信息

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.

出版信息

Drugs. 2017 Mar;77(3):285-301. doi: 10.1007/s40265-016-0687-8.

DOI:10.1007/s40265-016-0687-8
PMID:28074359
Abstract

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.

摘要

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。

相似文献

1
Pharmacological Management of Chronic Pelvic Pain in Women.女性慢性盆腔疼痛的药物治疗。
Drugs. 2017 Mar;77(3):285-301. doi: 10.1007/s40265-016-0687-8.
2
Opioids and Alternatives in Female Chronic Pelvic Pain.女性慢性盆腔疼痛中的阿片类药物及替代药物
Semin Reprod Med. 2018 Mar;36(2):164-172. doi: 10.1055/s-0038-1676102. Epub 2018 Dec 19.
3
Use of antidepressants in the management of women with chronic pelvic pain.抗抑郁药在慢性盆腔疼痛女性管理中的应用。
Obstet Gynecol Clin North Am. 1993 Dec;20(4):743-51.
4
Updates in the Approach to Chronic Pelvic Pain: What the Treating Gynecologist Should Know.慢性盆腔疼痛治疗方法的更新:妇科治疗医生应了解的内容。
Clin Obstet Gynecol. 2019 Dec;62(4):666-676. doi: 10.1097/GRF.0000000000000486.
5
Interventional therapies for controlling pelvic pain: what is the evidence?介入治疗控制盆腔痛的疗效如何?有何证据?
Curr Pain Headache Rep. 2010 Feb;14(1):22-32. doi: 10.1007/s11916-009-0089-7.
6
Chronic Pain. Principles and treatment.慢性疼痛。原理与治疗。
Drugs. 1983 Sep;26(3):262-7. doi: 10.2165/00003495-198326030-00006.
7
Pharmacological treatment and regional anesthesia techniques for pain management after completion of both conservative and surgical treatment of endometriosis and pelvic adhesions in women with chronic pelvic pain as a mandated treatment strategy.作为一项强制性治疗策略,针对患有慢性盆腔疼痛的女性,在子宫内膜异位症和盆腔粘连的保守及手术治疗完成后,采用药物治疗和区域麻醉技术进行疼痛管理。
Ann Agric Environ Med. 2015;22(2):353-6. doi: 10.5604/12321966.1152094.
8
Primary gonadotropin-releasing hormone agonist therapy for suspected endometriosis: a nonsurgical approach to the diagnosis and treatment of chronic pelvic pain.疑似子宫内膜异位症的原发性促性腺激素释放激素激动剂治疗:慢性盆腔疼痛诊断和治疗的非手术方法
Am J Manag Care. 1997 Feb;3(2):285-90.
9
Development of New Psychopharmacological Agents for Depression and Anxiety.用于治疗抑郁症和焦虑症的新型精神药理学药物的研发
Psychiatr Clin North Am. 2015 Sep;38(3):379-93. doi: 10.1016/j.psc.2015.05.009.
10
Duloxetine may enhance control of pain related to bladder trauma.度洛西汀可能增强对膀胱创伤相关疼痛的控制。
Aust N Z J Psychiatry. 2014 Sep;48(9):881. doi: 10.1177/0004867414529338. Epub 2014 Mar 20.

引用本文的文献

1
Factors Affecting Hormonal Therapy Ineffectiveness and Discontinuation due to Adverse Effects in Patients with Endometriosis-Associated Pain.影响子宫内膜异位症相关性疼痛患者激素治疗无效及因不良反应停药的因素。
Reprod Sci. 2025 Aug 18. doi: 10.1007/s43032-025-01947-y.
2
Women's Pain Management Across the Lifespan-A Narrative Review of Hormonal, Physiological, and Psychosocial Perspectives.女性一生各阶段的疼痛管理——激素、生理和社会心理视角的叙述性综述
J Clin Med. 2025 May 14;14(10):3427. doi: 10.3390/jcm14103427.
3
Endometriosis: A Comprehensive Analysis of the Pathophysiology, Treatment, and Nutritional Aspects, and Its Repercussions on the Quality of Life of Patients.

本文引用的文献

1
The influence of transcutaneous electrical nerve stimulation parameters on the level of pain perceived by participants with painful diabetic neuropathy: A crossover study.经皮电神经刺激参数对糖尿病性疼痛性神经病变患者疼痛感知水平的影响:一项交叉研究。
Diabetes Metab Syndr. 2017 Apr-Jun;11(2):113-118. doi: 10.1016/j.dsx.2016.08.016. Epub 2016 Aug 23.
2
The Effects of a Gluten-free Diet Versus a Hypocaloric Diet Among Patients With Fibromyalgia Experiencing Gluten Sensitivity-like Symptoms: A Pilot, Open-Label Randomized Clinical Trial.无麸质饮食与低热量饮食对出现麸质敏感样症状的纤维肌痛患者的影响:一项开放性标签的随机临床试验。
J Clin Gastroenterol. 2017 Jul;51(6):500-507. doi: 10.1097/MCG.0000000000000651.
3
子宫内膜异位症:对病理生理学、治疗、营养方面及其对患者生活质量的影响的综合分析
Biomedicines. 2024 Jul 4;12(7):1476. doi: 10.3390/biomedicines12071476.
4
Research Trends of Acupuncture Therapy on Chronic Pelvic Pain Syndrome from 2000 to 2022: A Bibliometric Analysis.2000年至2022年针灸治疗慢性盆腔疼痛综合征的研究趋势:文献计量分析
J Pain Res. 2023 Nov 30;16:4049-4069. doi: 10.2147/JPR.S434333. eCollection 2023.
5
Adaptation and Validation of the International Pelvic Pain Society's Quality of Life Questionnaire in Portuguese.国际盆腔疼痛学会生活质量问卷的葡萄牙语适应性和验证。
Rev Bras Ginecol Obstet. 2023 Oct;45(10):e575-e583. doi: 10.1055/s-0043-1772591. Epub 2023 Nov 9.
6
The burden of Chronic Pelvic Pain (CPP): Costs and quality of life of women and men with CPP treated in outpatient referral centers.慢性盆腔痛负担:在门诊转介中心接受治疗的女性和男性慢性盆腔痛患者的成本和生活质量。
PLoS One. 2023 Feb 9;18(2):e0269828. doi: 10.1371/journal.pone.0269828. eCollection 2023.
7
Does Dysmenorrhea Affect Clinical Features and Long-Term Surgical Outcomes of Patients With Ovarian Endometriosis? A 12-Year Retrospective Observational Cohort Study.痛经是否会影响卵巢子宫内膜异位症患者的临床特征和长期手术结局?一项为期12年的回顾性观察队列研究。
Front Med (Lausanne). 2022 Jun 16;9:905688. doi: 10.3389/fmed.2022.905688. eCollection 2022.
8
Is it the Ideal Time to Start Prescribing Cannabis Derivatives to Treat Endometriosis-associated Pain?现在是开始开大麻衍生物处方来治疗子宫内膜异位症相关疼痛的理想时机吗?
Rev Bras Ginecol Obstet. 2022 May;44(5):449-451. doi: 10.1055/s-0042-1749430. Epub 2022 Jun 13.
9
Six-month follow-up of minimally invasive nerve-sparing complete excision of endometriosis: What about dyspareunia?微创神经保护的子宫内膜异位症完全切除术的 6 个月随访:性交痛如何?
PLoS One. 2021 Apr 23;16(4):e0250046. doi: 10.1371/journal.pone.0250046. eCollection 2021.
10
Navigating the COVID-19 waters with chronic pelvic pain.应对慢性盆腔疼痛与新冠疫情
Int J Gynaecol Obstet. 2020 Nov;151(2):172-174. doi: 10.1002/ijgo.13359. Epub 2020 Sep 16.
Effectiveness of dry needling for chronic nonspecific neck pain: a randomized, single-blinded, clinical trial.
干针疗法治疗慢性非特异性颈部疼痛的疗效:一项随机、单盲临床试验
Pain. 2016 Sep;157(9):1905-1917. doi: 10.1097/j.pain.0000000000000591.
4
Adding corticosteroids to the pudendal nerve block for pudendal neuralgia: a randomised, double-blind, controlled trial.在阴部神经阻滞中加入皮质类固醇治疗阴部神经痛:一项随机、双盲、对照试验。
BJOG. 2017 Jan;124(2):251-260. doi: 10.1111/1471-0528.14222. Epub 2016 Jul 27.
5
Elevated level of nerve growth factor in the bladder pain syndrome/interstitial cystitis: a meta-analysis.膀胱疼痛综合征/间质性膀胱炎中神经生长因子水平升高:一项荟萃分析。
Springerplus. 2016 Jul 13;5(1):1072. doi: 10.1186/s40064-016-2719-y. eCollection 2016.
6
Immune activation enhances epithelial nerve growth in provoked vestibulodynia.免疫激活增强了诱发性前庭痛觉过敏中的上皮神经生长。
Am J Obstet Gynecol. 2016 Dec;215(6):768.e1-768.e8. doi: 10.1016/j.ajog.2016.07.037. Epub 2016 Jul 25.
7
Transcutaneous Peripheral Nerve Stimulation for the Treatment of Neuropathic Pain in the Upper Limb.经皮周围神经刺激治疗上肢神经性疼痛
J Hand Surg Asian Pac Vol. 2016 Feb;21(1):37-43. doi: 10.1142/S2424835516500041.
8
Cannabinoids for fibromyalgia.用于治疗纤维肌痛的大麻素类药物。
Cochrane Database Syst Rev. 2016 Jul 18;7(7):CD011694. doi: 10.1002/14651858.CD011694.pub2.
9
Fixed-site high-frequency transcutaneous electrical nerve stimulation for treatment of chronic low back and lower extremity pain.固定部位高频经皮电神经刺激治疗慢性腰及下肢疼痛
J Pain Res. 2016 Jun 28;9:469-79. doi: 10.2147/JPR.S111035. eCollection 2016.
10
Efficacy of the low FODMAP diet for treating irritable bowel syndrome: the evidence to date.低发酵性寡糖、双糖、单糖与多元醇饮食治疗肠易激综合征的疗效:迄今的证据
Clin Exp Gastroenterol. 2016 Jun 17;9:131-42. doi: 10.2147/CEG.S86798. eCollection 2016.