头颈部肿瘤学中的慢性疼痛管理。

Chronic Pain Management in Head and Neck Oncology.

机构信息

Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Centre/University Health Network, University of Toronto, 610 University Avenue, Toronto, Ontario M5G 2M9, Canada.

Department of Otolaryngology-Head and Neck Surgery, Texas Tech University Health Sciences Center, 3601 4th Street, Stop 8315, Lubbock, TX 79430-8315, USA.

出版信息

Otolaryngol Clin North Am. 2020 Oct;53(5):865-875. doi: 10.1016/j.otc.2020.05.015. Epub 2020 Jul 16.

DOI:10.1016/j.otc.2020.05.015

PMID:32684285

Abstract

Pain is epidemic in patients with head and neck cancer. Providers involved in the care of patients with head and neck cancer should be able to describe the common pain syndromes experienced by these patients, identify patients at risk of pain, and provide multimodal treatment of chronic pain. Treatment of chronic pain encompasses analgesic medications; adjuvant pharmacotherapy, including antidepressants and anticonvulsants; interventional techniques; as well as integrative medicine.

摘要

头颈部癌症患者普遍存在疼痛问题。参与头颈部癌症患者治疗的医护人员应能够描述这些患者常经历的常见疼痛综合征，识别有发生疼痛风险的患者，并提供慢性疼痛的多模式治疗。慢性疼痛的治疗包括镇痛药物；辅助药物治疗，包括抗抑郁药和抗惊厥药；介入技术；以及整合医学。