原发性肝癌癌性疼痛的中西医治疗进展
梁丹,王紫璇,赵雪君,陈新瑜
摘要(Abstract):
原发性肝癌因其高发病率、高致死率已成为威胁人类健康的杀手之一,癌性疼痛为中晚期原发性肝癌患者最常见症状之一,严重降低患者生活质量及患者生活信心。目前我国甚至全世界癌性疼痛控制仍不容乐观,如何有效合理地控制癌痛一直是医务工作者关注的焦点。本文综述了近年来原发性肝癌癌性疼痛的中西医治疗研究进展。
关键词(KeyWords): 原发性肝癌;癌性疼痛;中医治疗;西医治疗;综述
基金项目(Foundation): 国家中医药管理局罗本清全国名老中医药专家传承工作室
作者(Author): 梁丹,王紫璇,赵雪君,陈新瑜
参考文献(References):
- [1]吴孟超,李梦东,于岩岩,等.实用肝病学[M].北京:人民卫生出版社,2011:235-236.
- [2]Zeng H,Chen W,Zheng R,et al.Changing cancer survival in China during 2003-2015:a pooled analysis of 17 populationbased cancer registries[J].Lancet Glob Health,2018,6(5):e555-e567.
- [3]Wang M,Wang Y,Feng X,et al.Contribution of hepatitis Bvirus and hepatitis C virus to liver cancer in China north areas:experience of the Chinese National Cancer Center[J].Interational journal of Infectious diseases,2017,65:15-21.
- [4]中华人民共和国国家卫生健康委员会.癌症疼痛诊疗规范(2018年版)[J].临床肿瘤学杂志,2018,23(10):937-944.
- [5]Plancarte R,Guajardo-Rosas J,Reyes-Chiquete D,et al.Management of chronic upper abdominal pain in cancer:transdiscal blockade of the splanchnic nerves[J].Reg Anesth Pain Med,2010,35(6):500-506.
- [6]Hu SY,Wang YL,Yu WB,et al.Of pancreatic cancer pain minimally invasive treatment[J].Journal of Laparoscopic Surgery,2011,16(3):161-163.
- [7]陈艾江,王雁冰,张柯.胸腔镜内脏神经切断术治疗肝癌所致的顽固性疼痛[J].中国内镜杂志,2014,20(1):14-16.
- [8]Dominello M,Bowers J,Zaki M,et al.Radiotherapy and radioembolization for liver metastases[J].Ann Palliat Med,2014,3(2):104-113.
- [9]支海明,查清,程小辉.放射性粒子125I植入治疗癌性疼痛的疗效[J].安徽医学,2017,38(7):927-928.
- [10]Zhaleh Behrouzkia,Zahra Joveini,Behnaz Keshavarzi,et al.Hyperthermia:How Can It Be Used[J].Oman Medical Journal,2016,31(2):89-97.
- [11]贾玫,张文征,董青.微波热疗治疗癌性疼痛50例临床观察[J].中国当代医药,2010,17(4):71.
- [12]Alberts DS,Smith CC,Parikh N,et al.Fentanyl sublingual spray for breakthrough cancer pain in patients receiving transdermal fentanyl[J].Pain Management,2016,6(5):427-434.
- [13]Myers J,Chan V,Jarvis V,et al.Intraspinal techniques for pain management in cancer patients:a systematic review[J].Support Care Cancer,2010,18(2):137-149.
- [14]Ciuc.A,B.ban A.Psychological factors and psychosocial interventions for cancer related pain[J].Romanian Journal Internal Medicine,2017,55(2):63-68.
- [15]宋惠婷,苏帆.关于中医对疼痛的理解与治疗[J].世界最新医学信息文摘,2018,18(18):178-179.
- [16]刘峥峥.双柏散外敷治疗肝癌轻度癌痛的临床疗效评价[J].中国现代药物应用,2017,11(3):177-179.
- [17]龙建新,朱开昕,韦海霞,等.麝蟾镇痛膏外敷治疗癌性疼痛150例[J].河南中医,2015,35(6):1299-1301.
- [18]王院春,王希胜,李仁廷,等.乌香痛消膏外治癌性疼痛40例[J].山东中医杂志,2014,33(3):188-189.
- [19]杨万全,王恳,张镇,等.雪蟾酊剂改善癌性疼痛的临床研究[J].四川中医,2017,35(2):99-101.
- [20]Anshasi HA,Ahmad M.An assessment of methodological quality of systematic reviews of acupuncture and related therapies for cancer-related pain[J].Complement Therapies Clinical Practice,2018,32:163-168.
- [21]胡坤琳.穴位埋线背俞穴联合三阶梯止痛法治疗中重度癌痛的临床观察[D].广州:广州中医药大学,2016.
- [22]席飒.灵龟八法对原发性肝癌镇痛作用的临床观察[D].南宁:广西中医药大学,2018.
- [23]孙唯,张子丽.耳穴揿针联合西药治疗癌性疼痛的临床观察[J].按摩与康复医学,2016,7(9):24-25.
- [24]顾亮亮,姚兰红,龚爱琴,等.中医耳穴压籽法在缓解癌痛中的应用价值分析[J].中国全科医学,2017,20(18):2249-2252.
- [25]黄智芬,黎汉忠,张作军,等.拔罐治疗癌性疼痛30例疗效观察[J].上海针灸杂志,2006,25(8):14-15.
- [26]孙丕云,冯献斌,陈燕华,等.中医定向透药治疗仪治疗癌性疼痛的临床疗效观察[J].中国医药指南,2018,16(13):5-6.
- [27]沈丽贤,王明波,张红宇,等.穴位注射对肝癌癌痛患者镇痛效果影响的研究[J].河北中医药学报,2014,29(4):35-37.
- [28]钱卫,潘灵辉.癌性疼痛治疗现状分析[J].中国癌症防治杂志,2015,7(6):454-456.2019-02-16