肿瘤科口面部疼痛:使用新型镇痛肽 tafalgin

G. R. Abuzarova, R. R. Sarmanaeva, G. S. Alekseeva, S. V. Kuznetsov, A. Gevorkov, N. A. Fedorenko, D. A. Zaretskaya
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摘要

头颈部肿瘤患者的剧烈疼痛比其他部位的恶性肿瘤患者更为常见。三分之一的患者以疼痛为首发特征,二分之一的患者在确诊后已出现疼痛综合征。肿瘤治疗往往不仅不能缓解疼痛,反而会加剧疼痛,从而降低治疗意愿。部分癌症幸存者会继续经历疼痛。因此,口面部疼痛综合征应根据出现机制和治疗策略分为三个时期:诊断阶段的疼痛、抗肿瘤治疗过程中的疼痛综合征和缓解期的疼痛。实际上,如果有必要使用阿片类镇痛药,尤其是长期使用。口面部疼痛综合征的强度通常很强,往往需要处方阿片类镇痛药。阿片类镇痛药的替代品可能是一类新的镇痛药--肽类镇痛药--tafalgin。其作用机理是高度选择性地激动 m1 阿片受体。所提供的临床实例表明,tafalgin 具有良好的镇痛效果,可以作为第二阶段疼痛治疗的镇痛剂选择。
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Orofacial pain in oncology: use of a new analgesic peptide tafalgin
In patients with head and neck tumors severe pain is more common than in patients with malignant neoplasms of other locations. At a third of patients, pain is the first characteristic of the disease, and after diagnosis, one half of the patients are already having pain syndrome. Аntitumor treatment often not only bring relief, but can intensify pain, which can reduce wish to treated. Part of cancer survivor continue to experience. Thus, orofacial pain syndrome should be share depending on the mechanism of appearence and tactics of treatment on three periods: pain at the stage of diagnosis, then pain syndrome in process antitumor therapy and pain in remission. It is actually if it necessary to prescribe opioid analgesics, especially for a long time. Intensity of orofacial pain syndrome is usually strong and often need to prescribe opioid analgesics. Option to opioid analgesics may be a representative of a new group of analgetics – peptide analgesics – tafalgin. The mechanism of action is due to highly selective agonism to the m1-opioid receptors. The presented clinical example demonstrates the good analgesic effect of tafalgin and the possibility use as option to analgesics of the second stage of pain management.
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