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中醫藥在放化療中的作用(六) —— 神經損傷 ︱毛小玲註冊中醫師


化療引起的周邊 神經損傷 (Chemotherapy-Induced Peripheral Neuropathy, CIPN)是癌症治療中常見的副作用,多見於用鉑類、紫彬醇類、長春花生物鹼類等化療藥物。


CIPN表現為對稱性從指(趾)端開始的感覺障礙:麻木、痺痛、刺痛,表現為燒灼、冰冷、電擊感,或對冷敏感,或異常觸覺,即便是正常的接觸也會產生疼痛,或感覺皮膚變厚,手腳如戴上手套袖套穿上襪子的感覺,或感覺遲鈍影響動作:如拿筷子夾餸、握筆寫字、扣鈕扣、使用剪刀等。

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