治疗术后疼痛的新靶点和药物传递系统:最新研究和临床进展。

IF 3 4区 医学 Q2 PHARMACOLOGY & PHARMACY
Trilochan Satapathy, Gulab Singh, Ravindra Kumar Pandey, Shiv Shankar Shukla, Shiv Kumar Bhardwaj, Beena Gidwani
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引用次数: 0

摘要

疼痛是由少数外周目标产生的。炎症介质会使这些细胞变得更加敏感。通过更好的疼痛管理,给病人开的阿片类药物的数量可以大大减少。任何安全可靠地提供延长镇痛并足够灵活地促进多种释放谱的治疗方法都有助于改善患者的舒适度、护理质量和手术后的依从性。对新方法和传统方法进行了比较,并对其发展现状进行了讨论;考虑到分子和细胞水平数据、临床前和临床数据以及早期上市后数据的可用性。使用纳米技术将镇痛药输送到身体的特定部位有许多好处。纳米粒子能够将药物输送到人体难以接近的部位,因为它们的分子尺寸小。这篇综述的重点是特异性或主要作用于感觉神经元的靶点,以及已被证明具有镇痛作用的炎症介质,作为其抗炎特性的副作用。本文介绍了使用现有聚合物系统的新型、规范的术后疼痛管理设备,以及潜在的发展领域。镇痛治疗,药理学和非药理学,也进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Novel Targets and Drug Delivery System in the Treatment of Postoperative Pain: Recent Studies and Clinical Advancement.

Pain is generated by a small number of peripheral targets. These can be made more sensitive by inflammatory mediators. The number of opioids prescribed to the patients can be reduced dramatically with better pain management. Any therapy that safely and reliably provides extended analgesia and is flexible enough to facilitate a diverse array of release profiles would be useful for improving patient comfort, quality of care, and compliance after surgical procedures. Comparisons are made between new and traditional methods, and the current state of development has been discussed; taking into account the availability of molecular and cellular level data, preclinical and clinical data, and early post-market data. There are a number of benefits associated with the use of nanotechnology in the delivery of analgesics to specific areas of the body. Nanoparticles are able to transport drugs to inaccessible bodily areas because of their small molecular size. This review focuses on targets that act specifically or primarily on sensory neurons, as well as inflammatory mediators that have been shown to have an analgesic effect as a side effect of their anti- inflammatory properties. New, regulated post-operative pain management devices that use existing polymeric systems were presented in this article, along with the areas for potential development. Analgesic treatments, both pharmacological and non-pharmacological, have also been discussed.

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来源期刊
Current drug targets
Current drug targets 医学-药学
CiteScore
6.20
自引率
0.00%
发文量
127
审稿时长
3-8 weeks
期刊介绍: Current Drug Targets aims to cover the latest and most outstanding developments on the medicinal chemistry and pharmacology of molecular drug targets e.g. disease specific proteins, receptors, enzymes, genes. Current Drug Targets publishes guest edited thematic issues written by leaders in the field covering a range of current topics of drug targets. The journal also accepts for publication mini- & full-length review articles and drug clinical trial studies. As the discovery, identification, characterization and validation of novel human drug targets for drug discovery continues to grow; this journal is essential reading for all pharmaceutical scientists involved in drug discovery and development.
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