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癌症相关疼痛:理解遗传影响并确定其对临床实践的意义

Cancer-Related Pain: Understanding Genetic Influences and Determining Implications for Practice.

作者信息

Jakub Karen

机构信息

Duquesne University.

出版信息

Clin J Oncol Nurs. 2018 Dec 1;22(6):607-609. doi: 10.1188/18.CJON.607-609.

Abstract

Pain can be highly variable and unpredictable. Genetics may be key to identifying pain mechanisms that control the intensity, duration, and physiologic response in individuals with chronic pain. Pharmaco-genomics and precision medicine are permitting advances in pain control with analgesic drugs that have increased effectiveness and lead to decreased side effects. Knowledge of genetic variations related to how and why patients experience pain will aid in identifying those at risk, provide a better understanding of the phenomenon of pain, and possibly lead to innovative therapies to control pain.

摘要

疼痛可能具有高度的变异性和不可预测性。遗传学可能是识别控制慢性疼痛个体疼痛强度、持续时间和生理反应的疼痛机制的关键。药物基因组学和精准医学正在推动疼痛控制方面的进展,使用的镇痛药有效性提高且副作用减少。了解与患者如何以及为何经历疼痛相关的基因变异,将有助于识别有风险的人群,更好地理解疼痛现象,并可能带来控制疼痛的创新疗法。

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