20xx年醫(yī)學(xué)專題—神經(jīng)病性疼痛和輔助鎮(zhèn)痛劑的意義-預(yù)覽頁
【正文】 t analgesics…” All drugs, not licensed as such for the treatment of pain, but useful to improve the quality of analgesia. They may have an intrinsic analgesic activity or may potentiate the activity of classical analgesics or diminish their toxic effects.,第十四頁，共三十二頁。,抗抑郁劑 Antidepressants,amitriptylline (Tryptizol174。) 帕羅西汀 Mirtazapine (Remeron174。,阿米替林與安慰劑 amitryptylline versus placebo, HJ McQuay 1999,第十九頁，共三十二頁。i)藥物是有用的） Anxiolytics (Midazolam174。)Anticonvulsants,carbamazepin (Tegretol174。) 氯硝安定(ānd236。) 普瑞巴林,第二十一頁，共三十二頁。)左旋氯胺酮 dextromethorphan (Dampo174。,肌肉松弛劑 巴氯芬（鞘內(nèi)） Lind G.等。8:37783 Muscle relaxants Baclofen (intrathecal) Lind G. et al. Intrathecal baclofen as adjuvant therapy to enhance the effect of spinal cord stimulation in neuropathic pain. Eur J Pain 2004。75(7):71121 Corey PJ, Heck AM, Weathermon RA.苯丙胺用于對抗阿片類引起(yǐnqǐ)的鎮(zhèn)靜作用Ann Pharmacother 1999 Dec。33(12):13626,第二十五頁，共三十二頁。y242。) 疼痛治療的優(yōu)良輔助(fǔzh249。u)的最大劑量 地塞米松（812mg)以減輕神經(jīng)受壓迫 The best strategy: 1st line in neurogenic pain paracetamol, weak opioids, NSAIDs consider radiotherapy TENS or acupuncture may be helpful Neurodestruction: a.o. coeliac block strong opioids titrated to maximum tolerable dose dexamethasone (812 mg) to decrease pressure on the nerve,第二十九頁，共三十二頁。,總 結(jié) 輔助性鎮(zhèn)痛劑對于控制癥狀是重要的 這些藥物拓寬了鎮(zhèn)痛(zh232。ir243。i yǒu)目的的疼
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