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宫颈癌的疼痛管理

Pain management in cervical cancer.

作者信息

Aguiar-Rosas Sebastián, Plancarte-Sanchez Ricardo, Hernandez-Porras B Carolina, García-Andreu Jorge, Lezcano-Velazquez Brenda Olivia, Reyes-Torres Ignacio, Alarcón-Barrios Silvia

机构信息

Pain Clinic, Instituto Nacional de Cancerología, Mexico City, Mexico.

Independent Researcher, Mexico City, Mexico.

出版信息

Front Oncol. 2024 Apr 25;14:1371779. doi: 10.3389/fonc.2024.1371779. eCollection 2024.

DOI:10.3389/fonc.2024.1371779
PMID:38725634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11079655/
Abstract

Cervical cancer (CC) occupies the second place in incidence and mortality among women in México. Despite this, Cervical Cancer continues to have a late diagnosis which leads to a high rate of complications. Pain represents the most feared and disabling symptom, being present in up to 86% of patients with advanced disease. The approach to managing pain in this population has not been studied and described to a full extent. In addition, there is a pressing need to provide concise recommendations to promote adequate pain control. We performed a review of the literature in CC and had experts in the field of pain management evaluate the evidence found. We then issued relevant recommendations on pharmacology and interventional pain management. Thus, the approach to pain management must be comprehensive and individualized, considering the timely and appropriate use of pharmacologic treatment as well as interventional procedures.

摘要

宫颈癌(CC)在墨西哥女性的发病率和死亡率中位居第二。尽管如此,宫颈癌仍然存在诊断延迟的情况,这导致了高并发症发生率。疼痛是最令人恐惧且致残的症状,在高达86%的晚期疾病患者中出现。针对这一人群疼痛管理的方法尚未得到充分研究和描述。此外,迫切需要提供简洁的建议以促进充分的疼痛控制。我们对宫颈癌相关文献进行了综述,并让疼痛管理领域的专家评估所发现的证据。然后我们就药物治疗和介入性疼痛管理发布了相关建议。因此,疼痛管理方法必须全面且个体化,要考虑及时、适当地使用药物治疗以及介入程序。

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本文引用的文献

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Dynamic processes of mindfulness-based alterations in pain perception.基于正念的疼痛感知改变的动态过程。
Front Neurosci. 2023 Nov 9;17:1253559. doi: 10.3389/fnins.2023.1253559. eCollection 2023.
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Evidence-Based Treatment of Pain in Chemotherapy-Induced Peripheral Neuropathy.化疗引起的周围神经病变中疼痛的循证治疗
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Overview of radiotherapy-induced chronic pain in childhood cancer survivors: A narrative review.儿童癌症幸存者放疗引起的慢性疼痛概述:一项叙述性综述。
Paediatr Neonatal Pain. 2023 Feb 2;5(1):1-9. doi: 10.1002/pne2.12094. eCollection 2023 Mar.
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A Latin American consensus meeting on the essentials of mixed pain.拉丁美洲混合疼痛要点共识会议
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Impact of neuromodulation on opioid use, adjunct medication use, and pain control in cancer-related pain: a retrospective case series.神经调节对癌症相关疼痛中阿片类药物使用、辅助药物使用及疼痛控制的影响:一项回顾性病例系列研究
Pain Med. 2023 Jul 5;24(7):903-906. doi: 10.1093/pm/pnad001.
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Fluoroscopic anterior approach versus ultrasound guided superior hypogastric plexus neurolysis in cancer pelvic pain: a randomized controlled study.荧光透视前路与超声引导下腹下丛神经松解术治疗癌症盆腔痛的随机对照研究。
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A cross-sectional assessment of symptom burden among patients with advanced cervical cancer.横断面评估晚期宫颈癌患者的症状负担。
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Essential Package of Palliative Care for Women With Cervical Cancer: Responding to the Suffering of a Highly Vulnerable Population.基本的宫颈癌女性舒缓护理包:回应高度脆弱人群的痛苦。
JCO Glob Oncol. 2021 Jun;7:873-885. doi: 10.1200/GO.21.00026.
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Cervical Cancer-Associated Suffering: Estimating the Palliative Care Needs of a Highly Vulnerable Population.宫颈癌相关痛苦:评估高度脆弱人群的姑息治疗需求。
JCO Glob Oncol. 2021 Jun;7:862-872. doi: 10.1200/GO.21.00025.