在使用 gabapentinoids 治疗三角神经疼痛时应注意的事项:一篇评论
Gianfranco De Stefano1, Giuseppe Di Pietro1, Andrea Truini1
1Department of Human Neuroscience, Sapienza University, Rome, Italy.
Neuropsychiatric disease and treatment
|September 25, 2023
概括
gabapentin 和其他α2-delta配体在治疗三角神经疼痛方面表现有前途,特别是当一线药物引起副作用或失败时. 由于证据质量不佳,需要进行进一步的研究.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 电压通阻剂是三角神经疼痛的第一线治疗方法,但会引起副作用.
- 在持续疼痛的患者中,它们的疗效可能会降低,需要替代治疗.
研究的目的:
- 审查关于 gabapentin 和其他α2-delta配体三角神经疼痛的现有证据.
- 评估这些药物的疗效和耐受性.
主要方法:
- 在PubMed,EMBASE,Cochrane数据库和ClinicalTrials.gov的系统搜索到2023年4月.
- 包含和数据提取由两个独立的作者.
- 分析了七项受控或开放标签研究.
主要成果:
- 在包括的研究中评估了 gabapentin 和pregabalin (α2-delta配体).
- 目前证据质量很低.
- 这些药物具有良好的耐受性.
结论:
- 阿尔法2-三角形连接体对三角神经疼痛的治疗有兴趣,特别是在持续性疼痛方面.
- 它们的良好的耐受性概况在临床试验中需要进一步调查.
- 未来的研究应该专注于更高质量的研究,以确认疗效.
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