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Dexmedetomidine for cancer pain: mechanisms and opioid-sparing effects.

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成果类型:
期刊论文
作者:
Liao, Wei;Li, Shuzhai;Chen, Qisheng;Li, Wenjie;Peng, Shixuan;...
作者机构:
[Liao, Wei] Department of Anesthesiology, The First People's Hospital of Chenzhou, The Affiliated ChenZhou Hospital, Hengyang Medical School, University of South China, Chenzhou, Hunan, China
语种:
英文
关键词:
cancer pain;dexmedetomidine;opioid-sparing;opioids;α-2 adrenergic receptors
期刊:
International Journal of Surgery
ISSN:
1743-9191
年:
2025
机构署名:
本校为第一机构
院系归属:
医学院
摘要:
BACKGROUND AND OBJECTIVE: Cancer pain treatment faces challenges such as ineffective pain management, high-dose opioid use, and insufficient analgesia. Dexmedetomidine (DEX), a novel α2 receptor agonist, is a potential adjuvant analgesic. Its analgesic mechanism involves central coeruleus cell hyperpolarization, activation of peripheral, spinal cord, and spinal α2 receptors, and regulation of cellular signaling pathways and inflammatory factors. DEX reduces harmful neurotransmitter production and pain signal transmission and enhances opioid a...

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