骨质疏松症治疗和缓解疼痛:一个范围审查
Marie-Eva Pickering1, Rose-Marie Javier2, Sandrine Malochet1
1Rheumatology Department, CHU Gabriel Montpied, Clermont-Ferrand, France.
European journal of pain (London, England)
|July 5, 2023
概括
抗骨质疏松症药物可以减少骨质疏松症患者的疼痛. 然而,目前的研究方法有所变化,这阻碍了确定最佳的药物或剂量来缓解疼痛.
科学领域:
- 骨质新陈代谢和药物治疗
- 疼痛管理和骨质疏松症
背景情况:
- 抗骨质疏松症 (OP) 药物正在研究其在管理OP方面的潜在减轻疼痛效果.
- 这一范围审查映射了与抗OP药物治疗相关的疼痛缓解现有文献.
研究的目的:
- 系统地审查和绘制有关骨质疏松症患者用抗骨质疏松症药物治疗的疼痛缓解的文献.
- 确定研究中的趋势,方法和结果,评估抗OP药物的止痛作用.
主要方法:
- 在Medline,Pubmed和Cochrane数据库中搜索相关的英语语言研究.
- 包括随机对照试验和现实观察性研究,重点关注疼痛作为终点.
- 排除案例报告,动物研究和灰色文献;提取数据并通过讨论解决分歧.
主要成果:
- 从130篇已识别的文章中,包括31篇出版物,包括12个RCT和19个观察性研究.
- 使用各种工具 (例如,VAS,QOL问卷) 测量疼痛减轻.
- 数据表明,抗OP药物可能具有止痛作用,可能是通过局部作用对骨和疼痛敏感度调节.
结论:
- 抗骨质疏松症药物显示出改善骨质疏松症患者疼痛和生活质量的潜力.
- 研究设计,终点和方法的异质性阻止了关于最佳药物或剂量来缓解疼痛的最终结论.
- 需要进一步严格的试验和更大的现实研究来优化OP治疗中的疼痛管理.
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