再一次...突破性癌症疼痛:一个更新的概述
1Anesthetics, Main Regional Center for Pain Relief & Palliative Care Unit, La Maddalena Cancer Center, Acute Supportive/Palliative Care Unit & Hospice, 90146, Palermo, Italy. terapiadeldolore@lamaddalenanet.it.
Journal of anesthesia, analgesia and critical care
|July 21, 2023
概括
突破性癌症疼痛 (BTcP) 需要基于其独特模式的个性化管理. 建议使用阿片类药物治疗,特别是快速起作用的芬太尼,尽管最佳剂量仍在争论中.
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 突破性癌症疼痛 (BTcP) 是癌症患者的一个复杂而可变的症状.
- 准确评估BTcP模式对于有效治疗至关重要.
- 阿片类药物治疗是BTcP管理的基石.
研究的目的:
- 突出评估BTcP模式对个性化管理的重要性.
- 审查BTcP药物治疗中的当前建议和争议.
主要方法:
- 关于BTcP评估和管理的文献审查.
- 讨论阿片类药物选择,重点关注发病,抵消和输送途径.
- 对BTCP阿片类药物剂量的不同方法的分析.
主要成果:
- 随着时间的推移,BTcP表现在同一患者内可能会显著变化.
- 快速开始,快速抵消的阿片类药物,如芬太尼,通常是BTcP的首选.
- 关于最佳阿片类药物剂量存在争议,建议范围从与背景剂量成比例到最小定位.
结论:
- 对BTcP的个性化管理需要准确的模式评估.
- 芬太尼配方在BTCP的速度和有效性方面具有优势.
- 需要进一步的研究,以最终解决突破癌症疼痛的最佳阿片类药物剂量策略.
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