Sympathetic blocks for visceral cancer pain management: A systematic review and EAPC recommendations

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• 作者：Sebastiano Mercadante^a ; ^b ; ^{sebelle@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; ^{terapiadeldolore@lamaddalenanet.it" class="auth_mail" title="E-mail the corresponding author}Author Vitae ; På ; l Klepstad^c ; ^d ; ^{pal.klepstad@ntnu.no" class="auth_mail" title="E-mail the corresponding author}Author Vitae ; Geana Paula Kurita^e ; ^f ; ^{geana@rh.regionh.dk" class="auth_mail" title="E-mail the corresponding author}Author Vitae ; Per Sjø ; gren^g ; ^h ; ^{per.sjoegren@regionh.dk" class="auth_mail" title="E-mail the corresponding author}Author Vitae ; Antonino Giarratanoⁱ ; ^{giarratano@unipa.it" class="auth_mail" title="E-mail the corresponding author}Author Vitae ; On the behalf of The European Palliative Care Research Collaborative (EPCRC)
• 关键词：Sympathetic blocks ; Celiac plexus block ; Superior hypogastric plexus block ; Cancer pain ; Opioids
• 刊名：Critical Reviews in Oncology and Hematology
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：96
• 期：3
• 页码：577-583
• 全文大小：542 K

文摘

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d="par0005">An evidence-based assessment of sympathetic blocks for abdominal cancer patients showed that the quality of these studies was generally poor due to several limitations.

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d="par0010">Celiac plexus block, regardless of the technique used, improved analgesia and/or decrease in opioid consumption, and decreased opioid&ndash;induced adverse effects in comparison with a conventional analgesic treatment, as confirmed by two studies of good quality.

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d="par0015">Superior hypogastric plexus block determined a decrease in pain intensity and a less morphine consumption in one study.

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d="par0020">On the basis of existing evidence, CPB has a strong recommendation in patients with pancreatic cancer pain, while there is a weak recommendation for superior hypogastric plexus block that should be based on individual conditions.

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