教授從“伏毒致痹"探析奧沙利鉑所致急性周圍神經(jīng)毒性
本文引用:,.教授從“伏毒致痹"探析奧沙利鉑所致急性周圍神經(jīng)毒性[J].湖南中醫(yī)藥大學(xué)學(xué)報(bào),2025,45(5):910-915.
[關(guān)鍵詞]奧沙利鉑;周圍神經(jīng)病變;神經(jīng)毒性;伏毒;溫陽通絡(luò)散;名醫(yī)經(jīng)驗(yàn) [中圖分類號(hào)]R249 [文獻(xiàn)標(biāo)志碼]A [文章編號(hào)]doi:10.3969/j.issn.1674-070X.2025.05.018
[Abstract]Oxaliplatinisathird-generation platinum drug,which is widelyusedindigestivetracttumors,anditsadverse reactionsaremostcommoninoxaliplatin-inducedperipheralneurotoxicity(OIPN),whichisclasifiedintotwotypes:acuteand chronic.cuteoxaliplatin-inducedperipheralneurotoxicity (AOIPN)isatransientneurotoxicitysymptomoccuring within24-48h afteroxaliplatininfusionhichisdominatedbysnsoryabnomalitiesthatafectspatientsqualtyoflifeandinsverecases, forcingthemtochangetheirtreatmentregimenandafectingsurvival.ProfesorLIULikunbelievesthathidentoxicityisthe causative factorofOP,whichisharacterizedbyimpedientblockingvesselsandcolateralsandstrongconcealmentdiis treatedbywarmingcoldanddampness,expelingtoxinsandremoving bloodstasis,andthecombinationofexternalwashingwith theself-draftedWenyang TongluoPowderhasaremarkabletherapeuticefectThispaperdiscussesthetreatmentofAOIPfrom thetheoryof"atenttoxicitycausingimpediment",andatachesaclinicalrecordinodertoprovideideasfortheclinicaltreatet of AOIPN.
[Keywords]oxaliplatin;peripheral neuropathy;neurotoxicity;latent toxicity;Wenyang TongluoPowder;experienceof famous doctors
奧沙利鉬所致周圍神經(jīng)毒性(oxaliplatin-inducedperipheral neuropathy,OIPN)表現(xiàn)為四肢末端感覺障礙,包括刺痛、麻木、冷或溫暖的異常皮膚感覺[。(剩余10073字)
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