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瘙痒——探寻病因与缓解之道?

Pruritus--itching for a cause and relief?

作者信息

Kam P C, Tan K H

机构信息

Department of Anaesthesia, Royal Prince Alfred Hospital, Camperdown, N.S.W., Australia.

出版信息

Anaesthesia. 1996 Dec;51(12):1133-8. doi: 10.1111/j.1365-2044.1996.tb15050.x.

DOI:10.1111/j.1365-2044.1996.tb15050.x
PMID:9038449
Abstract

The mechanisms of pruritus, an unpleasant irritation on the skin that provokes an urge to scratch, are reviewed. Whilst symptomatic treatment is only partially effective, antihistamines remain the first choice of treatment. However, recent novel treatment using opiate antagonists, propofol (subhypnotic doses) and serotonin antagonists offer attractive alternatives.

摘要

本文综述了瘙痒(一种引起搔抓冲动的皮肤不适感)的发病机制。虽然对症治疗仅部分有效,但抗组胺药仍是首选治疗方法。然而,最近使用阿片类拮抗剂、丙泊酚(亚催眠剂量)和5-羟色胺拮抗剂的新型治疗方法提供了有吸引力的替代方案。

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Pruritus--itching for a cause and relief?瘙痒——探寻病因与缓解之道?
Anaesthesia. 1996 Dec;51(12):1133-8. doi: 10.1111/j.1365-2044.1996.tb15050.x.
2
Pruritus in palliative care: Getting up to scratch.姑息治疗中的瘙痒:达到标准要求。
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Pruritus and cholestasis: therapeutic options.瘙痒与胆汁淤积:治疗选择
J Gastroenterol Hepatol. 1993 Mar-Apr;8(2):168-73. doi: 10.1111/j.1440-1746.1993.tb01510.x.
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[The pathophysiology and treatment of cholestatic pruritus].[胆汁淤积性瘙痒的病理生理学与治疗]
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Pruritus. Current concepts in pathogenesis and treatment.瘙痒症:发病机制与治疗的当前概念
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Pruritus in systemic disease: mechanisms and management.全身性疾病中的瘙痒:机制与管理
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Evolving concepts of the pathogenesis and treatment of the pruritus of cholestasis.胆汁淤积性瘙痒发病机制与治疗的概念演变
Can J Gastroenterol. 2000 Jan;14(1):33-40. doi: 10.1155/2000/747495.
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[Pruritus sine materia: a pharmacological approach].[无明显病因的瘙痒:一种药理学方法]
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The pruritus of cholestasis: evolving pathogenic concepts suggest new therapeutic options.
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Side Effects and Efficacy of Neuraxial Opioids in Pregnant Patients at Delivery: A Comprehensive Review.分娩期妊娠患者使用椎管内阿片类药物的副作用及疗效:一项综述
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Gastrointestinal delivery of propofol from fospropofol: its bioavailability and activity in rodents and human volunteers.丙泊酚前体药物福米丙泊酚的胃肠道给药:其在啮齿动物和人类志愿者中的生物利用度及活性
J Transl Med. 2015 May 29;13:170. doi: 10.1186/s12967-015-0526-9.
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Sensory neurons and circuits mediating itch.介导瘙痒的感觉神经元和回路。
Nat Rev Neurosci. 2014 Jan;15(1):19-31. doi: 10.1038/nrn3641.
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Neuraxial opioid-induced pruritus: An update.神经轴索阿片类药物引起的瘙痒:最新进展
J Anaesthesiol Clin Pharmacol. 2013 Jul;29(3):303-7. doi: 10.4103/0970-9185.117045.
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The effect of epidural administration of dexamethasone on postoperative pain: a randomized controlled study in radical subtotal gastrectomy.硬膜外给予地塞米松对术后疼痛的影响:根治性胃大部切除术后的随机对照研究。
Korean J Anesthesiol. 2011 Sep;61(3):233-7. doi: 10.4097/kjae.2011.61.3.233. Epub 2011 Sep 23.
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Vertebrate melanophores as potential model for drug discovery and development: a review.脊椎动物黑素细胞作为药物发现和开发的潜在模型:综述。
Cell Mol Biol Lett. 2011 Mar;16(1):162-200. doi: 10.2478/s11658-010-0044-y. Epub 2010 Dec 27.
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Histamine-induced itch and its relationship with pain.组胺诱导的瘙痒及其与疼痛的关系。
Mol Pain. 2008 Jul 31;4:29. doi: 10.1186/1744-8069-4-29.
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Pathophysiology and management of opioid-induced pruritus.阿片类药物引起的瘙痒的病理生理学与管理
Drugs. 2007;67(16):2323-33. doi: 10.2165/00003495-200767160-00003.
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Intrathecal sufentanil (1.5 microg) added to hyperbaric bupivacaine (0.5%) for elective cesarean section provides adequate analgesia without need for pruritus therapy.在用于择期剖宫产的高压布比卡因(0.5%)中添加鞘内舒芬太尼(1.5微克)可提供充分的镇痛效果,而无需进行瘙痒治疗。
J Anesth. 2006;20(4):274-8. doi: 10.1007/s00540-006-0437-2.
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Characterization of scratching responses in rats following centrally administered morphine or bombesin.中枢给予吗啡或蛙皮素后大鼠搔抓反应的特征
Behav Pharmacol. 2003 Nov;14(7):501-8. doi: 10.1097/01.fbp.0000095082.80017.0f.