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中国疼痛研究会关于离子通道药物治疗神经病理性疼痛的专家共识

Expert consensus of the Chinese Association for the Study of Pain on ion channel drugs for neuropathic pain.

作者信息

Xiao Hong, Ma Ke, Huang Dong, Liu Xian-Guo, Liu Tang-Hua, Liu Qing, Liu Guang-Zhao, Song Tao, Tao Wei, Wu Da-Sheng, Wang Yun-Xia, Yang Xiao-Qiu, Zhang Xiao-Mei, Liu Hui, Liu Yan-Qing

机构信息

Department of Algology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Department of Algology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China.

出版信息

World J Clin Cases. 2021 Mar 26;9(9):2100-2109. doi: 10.12998/wjcc.v9.i9.2100.

Abstract

Neuropathic pain (NPP) is a kind of pain caused by disease or damage impacting the somatosensory system. Ion channel drugs are the main treatment for NPP; however, their irregular usage leads to unsatisfactory pain relief. To regulate the treatment of NPP with ion channel drugs in clinical practice, the Chinese Association for the Study of Pain organized first-line pain management experts from China to write an expert consensus as the reference for the use of ion channels drugs . Here, we reviewed the mechanism and characteristics of sodium and calcium channel drugs, and developed recommendations for the therapeutic principles and clinical practice for carbamazepine, oxcarbazepine, lidocaine, bulleyaconitine A, pregabalin, and gabapentin. We hope this guideline provides guidance to clinicians and patients on the use of ion channel drugs for the management of NPP.

摘要

神经病理性疼痛(NPP)是一种由影响体感系统的疾病或损伤引起的疼痛。离子通道药物是治疗NPP的主要手段;然而,其使用不规范导致疼痛缓解效果不理想。为规范临床实践中离子通道药物治疗NPP,中国疼痛学会组织国内一线疼痛管理专家撰写了专家共识,作为离子通道药物使用的参考依据。在此,我们回顾了钠通道和钙通道药物的作用机制及特点,并针对卡马西平、奥卡西平、利多卡因、草乌甲素、普瑞巴林和加巴喷丁的治疗原则及临床应用提出了建议。我们希望本指南能为临床医生和患者在使用离子通道药物治疗NPP方面提供指导。

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