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骨转移癌痛的中西医治疗进展
作者姓名:赖桂花  袁晶  闫钰婷  程雄涛  曹建雄
作者单位:湖南中医药大学第一附属医院, 湖南 长沙 410007,湖南中医药大学第一附属医院, 湖南 长沙 410007,湖南中医药大学第一附属医院, 湖南 长沙 410007,湖南中医药大学第一附属医院, 湖南 长沙 410007,湖南中医药大学第一附属医院, 湖南 长沙 410007
基金项目:湖南省自然科学基金项目(201946);湖南省重点研发计划(2018SK2127)。
摘    要:骨转移癌痛是由晚期恶性肿瘤转移到骨引起的顽固性疼痛,痛势剧烈,严重影响癌症患者生活质量,其治疗成为临床研究的重点。西医治疗以三阶梯止痛药物治疗为主,疗效肯定且显效迅速,但是患者长期大剂量服用会产生多种毒副反应,而中医治疗能够缓解西医治疗带来的毒副反应,提高患者机体免疫力且有一定的止痛、抗肿瘤作用,临床上与西医联合使用则可以优势互补,达到增效减毒、痛瘤同治的目的。本文对近年来骨转移癌痛的中西医治疗进行综述,以期为今后临床诊疗提供有益参考。

关 键 词:骨转移癌痛  中医药  西医  中西医结合
收稿时间:2019/1/23 0:00:00

Advances of the Treatment of Bone Metastatic Cancer Pain by Traditional Chinese and Western Medicine
Authors:LAI Guihu  YUAN Jing  YAN Yuting  CHENG Xiongtao and CAO Jianxiong
Institution:The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China,The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China,The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China,The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China and The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China
Abstract:Bone metastatic cancer pain is an intractable pain caused by the metastasis of advanced malignant tumors to bones. The pain is severe and affects the quality of life of cancer patients. Its treatment has become the focus of clinical research. The bone metastatic cancer pain is mainly treated with three-step analgesic drugs. The curative effect is positive and rapid, but long-term high-dose administration will produce a variety of toxic and side effects. Traditional Chinese medicine treatment of bone metastatic cancer pain can alleviate the toxic and side effects caused by Western medicine treatment, improve the patient''s immunity and have certain analgesic and anti-tumor effects. Clinically, traditional Chinese medicine and Western medicine combined use can complement each other''s advantages, to achieve the purpose of synergism, pain and tumor treatment. This paper reviewed the treatment of bone metastatic cancer pain by Chinese and Western medicine in recent years in order to provide useful reference for future clinical diagnosis and treatment.
Keywords:bone metastatic cancer pain  traditional Chinese medicine  Western medicine  integrative Chinese and western medicine
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