介入治疗技术控制癌痛应用进展  

Progress in the application of interventional therapy to control cancer pain

作　　者：阮明慧 曹国庆(综述)[1] 倪家骧(审校)[1] Ruan Minghui;Cao Guoqing;Ni Jiaxiang(Xuanwu Hospital Captial Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院疼痛科/国家老年疾病临床医学研究中心,北京100053

出　　处：《疑难病杂志》2020年第10期1068-1071,1076,共5页Chinese Journal of Difficult and Complicated Cases

摘　　要：目前,癌症的发生率逐年增高,多数患者的疼痛控制不理想。而癌症相关性疼痛会引起情感抑郁、生活质量下降,对各种治疗的适应力下降等一系列问题。癌症疼痛的治疗共识目前已朝着多模式治疗的方向发展,即在药物治疗的同时及早应用介入治疗技术。其优势在于良好的镇痛疗效、阿片类药物用量的减少、不良反应发生率的下降及良好的经济效益。文章主要对癌痛治疗现状、癌痛产生的主要原因及相关机制,以及介入治疗技术控制癌痛方面进行综述。At present,the incidence of cancer is increasing year by year,and the pain control of most patients is not ideal.Cancer-related pain can cause emotional depression,decreased quality of life,and decreased adaptability to various treatments.The consensus on the treatment of cancer pain has now been developed in the direction of multi-modal treatment,that is,early application of interventional treatment techniques at the same time as drug treatment.Its advantages lie in good analgesic efficacy,reduced opioid dosage,decreased incidence of adverse reactions and good economic benefits.This article mainly reviews the current status of cancer pain treatment,the main causes and related mechanisms of cancer pain,and interventional therapy techniques to control cancer pain.

关 键 词：介入治疗技术 神经阻滞 脊髓电刺激 椎管内药物输注系统 

分 类 号：R730.5[医药卫生—肿瘤]