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化疗引起的周围神经病变和神经性疼痛

[Chemotherapy-induced peripheral neuropathy and neuropathic pain].

作者信息

Schuler U, Heller S

机构信息

PalliativCentrum, Universitätsklinikum Carl Gustav Carus, Fetscherstr. 74, 01307, Dresden, Deutschland.

出版信息

Schmerz. 2017 Aug;31(4):413-425. doi: 10.1007/s00482-017-0198-x.

Abstract

The perception of the media is that chemotherapy is mainly associated with nausea, vomiting and hair loss. In the longer term the development of peripheral neuropathy, i.e. chemotherapy-induced peripheral neuropathy (CIPN) is often more important for patients. The CIPN represents a side effect of many antineoplastic substances with severe functional impairment and its prevention and treatment is an important task. In addition to many interventions, which have been shown to be ineffective, physiotherapeutic measures and possibly the prophylactic application of cold are helpful for prevention. Randomized studies on the treatment of painful CIPN provided positive data for duloxetine and to a lesser extent for venlafaxine.

摘要

媒体的看法是,化疗主要与恶心、呕吐和脱发有关。从长远来看,外周神经病变的发展,即化疗引起的外周神经病变(CIPN)对患者往往更为重要。CIPN是许多抗肿瘤物质的一种副作用,会导致严重的功能损害,其预防和治疗是一项重要任务。除了许多已被证明无效的干预措施外,物理治疗措施以及可能的预防性冷敷有助于预防。关于疼痛性CIPN治疗的随机研究为度洛西汀提供了阳性数据,对文拉法辛的阳性数据较少。

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