癌症疼痛病理生理学和管理方面的进步:一个范围广泛的综述
Giustino Varrassi1,2, Antonella Paladini3, Y Van Tran4
1Fondazione Paolo Procacci, 00193 Roma, Italy.
Cancers
|January 28, 2026
概括
癌症疼痛管理正在推进精准医学,整合分子洞察力和数字工具,以获得更好的患者结果. 未来的研究需要更多的试验和公平的新疗法.
科学领域:
- 在瘤学瘤学.
- 疼痛医学 医学 疼痛医学
- 遗传学 是一个遗传学.
背景情况:
- 癌症疼痛影响到大多数晚期癌症患者,严重治疗不足.
- 目前的管理面临的挑战是由于复杂的知觉,神经病变和知觉塑性机制.
研究的目的:
- 审查癌症疼痛病理生理学和管理的最新进展.
- 确定新兴疗法和精确疼痛管理的证据差距.
主要方法:
- 根据PRISMA-ScR指南进行范围审查.
- 搜索了主要的数据库,从2022年1月到2025年9月的研究.
- 分析了278项跨越生物机制,药理学,干预和数字健康的研究.
主要成果:
- 癌症疼痛涉及瘤-神经元-免疫交叉声以及影响变异性的遗传/表观遗传因素.
- 精准医学整合了多模式策略:药理学,干预程序 (神经阻断,神经调节) 和先进的放射治疗.
- 数字健康创新 (应用程序,人工智能) 提供持续监控和个性化治疗优化.
结论:
- 癌症疼痛治疗正在转向基于机制的精准医学.
- 挑战包括对干预措施的有限试验,人工智能验证和数字健康公平.
- 未来的研究应该专注于对照性研究和公平地纳入临床实践.
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