国际麻醉学与复苏杂志   2013, Issue (5): 4-4
    
吗啡耐受的治疗进展
孙亮, 孙莉1()
1.北京协和医学院 中国医学科学院 肿瘤医院麻醉科
Progress of treatment on morphine tolerance
 全文:
摘要:

背景 吗啡作为治疗中到重度疼痛,特别是晚期癌痛的强效药物,长期应用后会出现耐受。吗啡耐受机制研究的不断深入为其治疗提供了大量的思路。目的 文章就近年来的实验研究进展进行综述,以期为吗啡耐受的治疗提供实验室和临床方面的参考。 内容 许多学者们发现多种治疗手段均可延缓甚或逆转吗啡耐受,综述主要介绍药物以及针刺治疗。趋向 吗啡与多种药物的联合应用或针刺治疗可能是吗啡耐受治疗的趋势。

关键词: 吗啡耐受;药物治疗;针刺治疗
Abstract:

Background Morphine is usually used as a superactive drug to treat moderate or severe pain, especially for advanced cancer pain. However, the long time application of morphine could cause its tolerance. With the progresses on the mechanisms of morphine tolerance, researchers obtained many new ideas on treating morphine tolerance. Objective This review mainly focuses on its advances recently, in order to provide experimental and clinical experience about treating morphine tolerance. Content Many researchers found that different kinds of methods could postpone or even reverse morphine tolerance. This review will introduce the treatment methods of drug and acupuncture. Trend Combination of morphine and many other drugs or acupuncture may be a trend on treating morphine tolerance in the future.

Key words: Morphine tolerance; Drug treament; Acupuncture therapy