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化疗引起的周围神经病的药用植物补充疗法综述。

A review of complementary therapies with medicinal plants for chemotherapy-induced peripheral neuropathy.

机构信息

Department of Chinese Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan; Graduate Institute of Integrated Medicine, College of Chinese Medicine, Research Center for Chinese Medicine & Acupuncture, China Medical University, Taichung, Taiwan.

Department of Chinese Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

出版信息

Complement Ther Med. 2019 Feb;42:226-232. doi: 10.1016/j.ctim.2018.11.022. Epub 2018 Nov 27.

Abstract

INTRODUCTION

Chemotherapy-induced peripheral neuropathy (CIPN) is a progressive, prolonged, and often irreversible side effect of many chemotherapeutic agents. The development of neuropathic pain is still poorly managed by clinically available drugs at present.

METHODS

In this mini-review, we summarized the current knowledge of pathobiology for CIPN, and selected evidence on the application of complementary therapies in experimental studies.

RESULTS

Medicinal plants are considered to be the most common complementary therapy modalities for CIPN. Therefore, we identified ten medicinal herbal extracts as well as their phytochemicals, and three herbal formulas. Multiple complementary therapies have been used and studied for decades, and their effects against CIPN are focus on anti-oxidative activity. However, there is still controversial due to the diverse manifestations of different antineoplastic agents and complex drug interactions.

CONCLUSIONS

Novel therapies or drugs that have proven to be effective in animals require further investigation, so confirmation of their efficacy and safety will require time.

摘要

简介

化疗引起的周围神经病(CIPN)是许多化疗药物的一种进行性、长期性且常不可逆的副作用。目前,临床上可用的药物对神经病理性疼痛的治疗效果仍不理想。

方法

在这个小型综述中,我们总结了 CIPN 的病理生物学的现有知识,并选择了补充疗法在实验研究中的应用的证据。

结果

药用植物被认为是治疗 CIPN 最常见的补充疗法。因此,我们确定了十种药用草药提取物及其植物化学物质,以及三种草药配方。多种补充疗法已经使用和研究了几十年,它们对 CIPN 的作用主要集中在抗氧化活性上。然而,由于不同抗肿瘤药物的表现多样且药物相互作用复杂,因此仍存在争议。

结论

已在动物身上证明有效的新型疗法或药物仍需要进一步研究,因此需要时间来确认其疗效和安全性。

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