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热疗联合阿片类药物治疗:改善胃肠癌患者的癌痛管理并减轻手术应激

Hyperthermia combined with opioid therapy: Enhancing cancer pain management and reducing surgical stress in gastrointestinal cancer patients.

作者信息

Wang Yue, Xun Xin, Luan Wen-Yu, Zhang Zheng, Xu Zhen-Xi, Lin Si-Xiang, Miao Yan-Dong

机构信息

Cancer Center, People's Hospital of Yuxi City, Yuxi 653100, Yunnan Province, China.

Department of Oncology, 920th Hospital of People's Liberation Army Joint Logistics Support Force, Kunming 650118, Yunnan Province, China.

出版信息

World J Gastrointest Surg. 2025 Mar 27;17(3):101060. doi: 10.4240/wjgs.v17.i3.101060.

Abstract

In this article, we evaluate the findings of the study by Qian , which explores the efficacy of combining hyperthermia with opioid therapy for enhanced cancer pain management in patients with middle and late-stage gastrointestinal tumors. The study undertakes a retrospective analysis comparing traditional opioid therapy to an integrated approach of hyperthermia and opioids across 70 patients, highlighting significant benefits in pain control, reduction of opioid dosage, and minimization of adverse reactions. In our article, we not only discuss these findings but also emphasize the broader implications for clinical practice, particularly in enhancing patient outcomes through innovative pain management strategies. We advocate for further research to establish more robust data supporting this approach and to explore the mechanistic insights that enable these benefits. This discussion reflects on the potential paradigm shift in managing debilitating cancer-related pain, urging a reevaluation of current practices to incorporate these findings effectively.

摘要

在本文中,我们评估了钱氏研究的结果。该研究探讨了热疗与阿片类药物疗法相结合在中晚期胃肠道肿瘤患者中增强癌症疼痛管理的疗效。该研究对70例患者进行了回顾性分析,比较了传统阿片类药物疗法与热疗和阿片类药物的综合疗法,突出了在疼痛控制、阿片类药物剂量减少以及不良反应最小化方面的显著益处。在我们的文章中,我们不仅讨论了这些发现,还强调了其对临床实践的更广泛影响,特别是通过创新的疼痛管理策略改善患者预后。我们主张进行进一步研究,以建立更有力的数据支持这种方法,并探索实现这些益处的机制性见解。这一讨论反映了在管理使人衰弱的癌症相关疼痛方面潜在的范式转变,敦促重新评估当前做法以有效纳入这些发现。

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本文引用的文献

1
Effect of hyperthermia combined with opioids on cancer pain control and surgical stress in patients with gastrointestinal cancer.
World J Gastrointest Surg. 2024 Dec 27;16(12):3745-3753. doi: 10.4240/wjgs.v16.i12.3745.
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Opioid analgesics for nociceptive cancer pain: A comprehensive review.
CA Cancer J Clin. 2024 May-Jun;74(3):286-313. doi: 10.3322/caac.21823. Epub 2023 Dec 18.
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Synergized photothermal therapy and magnetic field induced hyperthermia via bismuthene for lung cancer combinatorial treatment.
Mater Today Bio. 2023 Sep 29;23:100825. doi: 10.1016/j.mtbio.2023.100825. eCollection 2023 Dec.
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Synchronous Treatment of Breast Cancer Hepatic Metastases by Transarterial Radioembolization and Radiofrequency Thermoablation: A Case Report.
Clin Nucl Med. 2023 Sep 1;48(9):e446-e448. doi: 10.1097/RLU.0000000000004766. Epub 2023 Jun 29.

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