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阿片类镇痛药的作用

Role of opioid analgesics.

作者信息

Inturrisi C E

出版信息

Am J Med. 1984 Sep 10;77(3A):27-37. doi: 10.1016/s0002-9343(84)80100-x.

DOI:10.1016/s0002-9343(84)80100-x
PMID:6486129
Abstract

The clinical pharmacology of the narcotic-type analgesics is discussed in depth. Relative analgesic potency, peak and duration of analgesia, oral potency, and adverse effects are reviewed, With an emphasis on the clinical application of this knowledge. The differences among psychologic dependence, physical dependence, and tolerance are carefully delineated. Guidelines are provided for using narcotic-type analgesics in the management of patients with cancer.

摘要

深入讨论了麻醉型镇痛药的临床药理学。回顾了相对镇痛效力、镇痛的峰值和持续时间、口服效力以及不良反应,并重点强调了这些知识的临床应用。仔细阐述了心理依赖、身体依赖和耐受性之间的差异。提供了在癌症患者管理中使用麻醉型镇痛药的指南。

相似文献

1
Role of opioid analgesics.阿片类镇痛药的作用
Am J Med. 1984 Sep 10;77(3A):27-37. doi: 10.1016/s0002-9343(84)80100-x.
2
Opioid analgesics in cancer pain: current practice and controversies.癌症疼痛中的阿片类镇痛药:当前的实践与争议
Cancer Surv. 1988;7(1):29-53.
3
Narcotic analgesics. Clinical pharmacology and therapeutics.麻醉性镇痛药。临床药理学与治疗学。
Cancer Nurs. 1990 Feb;13(1):28-38.
4
Ultra-low doses of naltrexone or etorphine increase morphine's antinociceptive potency and attenuate tolerance/dependence in mice.超低剂量的纳曲酮或埃托啡可增强吗啡在小鼠中的镇痛效力,并减轻耐受性/依赖性。
Brain Res. 1997 May 23;757(2):176-90. doi: 10.1016/s0006-8993(97)00197-2.
5
Pain management for dentists.牙医的疼痛管理
Todays FDA. 2008 Aug;20(8):33-5, 37.
6
Diseases, dichotomies, and detail men.疾病、二分法与外勤推销员。
Ann Intern Med. 1973 Feb;78(2):293-6. doi: 10.7326/0003-4819-78-2-293.
7
Acute tolerance to narcotic analgesic drugs in rats.大鼠对麻醉性镇痛药的急性耐受性
Br J Pharmacol Chemother. 1968 Jun;33(2):245-56. doi: 10.1111/j.1476-5381.1968.tb00986.x.
8
Antagonists at excitatory opioid receptors on sensory neurons in culture increase potency and specificity of opiate analgesics and attenuate development of tolerance/dependence.培养的感觉神经元上兴奋性阿片受体的拮抗剂可提高阿片类镇痛药的效力和特异性,并减弱耐受性/依赖性的发展。
Brain Res. 1994 Feb 14;636(2):286-97. doi: 10.1016/0006-8993(94)91028-6.
9
Analgesics and ENT surgery. A clinical comparison of the intraoperative, recovery and postoperative effects of buprenorphine, diclofenac, fentanyl, morphine, nalbuphine, pethidine and placebo given intravenously with induction of anaesthesia.镇痛药与耳鼻喉科手术。静脉注射丁丙诺啡、双氯芬酸、芬太尼、吗啡、纳布啡、哌替啶及安慰剂并诱导麻醉后,对术中、恢复阶段及术后效果的临床比较。
Br J Clin Pharmacol. 1994 Dec;38(6):533-43. doi: 10.1111/j.1365-2125.1994.tb04395.x.
10
The pharmacologic management of cancer pain.癌症疼痛的药物治疗
Oncology (Williston Park). 2004 Oct;18(12):1499-515; discussion 1516, 1520-1, 1522, 1524.

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