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相关概念视频

Analgesia and Pain Management01:25

Analgesia and Pain Management

1.0K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Nociception01:44

Nociception

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Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
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相关实验视频

Updated: Nov 3, 2025

Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain
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治疗慢性疼痛的神经调节

Helena Knotkova1, Clement Hamani2, Eellan Sivanesan3

  • 1MJHS Institute for Innovation in Palliative Care, New York, NY, USA; Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.

Lancet (London, England)
|June 1, 2021
PubMed
概括

包括脊髓刺激 (SCS) 在内的神经调节疗法提供了治疗疼痛的电疗法. 它们有效性的证据各不相同,需要进行持续的研究,以完善患者选择和治疗变量,以获得最佳的结果.

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Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management
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科学领域:

  • 治疗疼痛的方法
  • 神经学
  • 神经外科

背景情况:

  • 神经调节包括各种用于治疗疼痛的电疗法,从非侵入性到外科干预.
  • 脊髓刺激 (SCS) 是一个关键的重点,与其他侵入性和非侵入性技术,如深度大脑刺激和重复性跨磁刺激.

研究的目的:

  • 对治疗疼痛的各种神经调节疗法的现有证据进行审查和综合.
  • 评估不同神经调节方式的有效性和局限性,包括脊髓刺激,外围神经刺激,大脑刺激和非侵入性技术.

主要方法:

  • 对慢性疼痛疗法的现有文献进行系统审查.
  • 对不同神经调节技术优于假刺激,安慰剂或传统治疗方法的证据质量分析.

主要成果:

  • 低至中等的证据支持SCS为失败的背部手术综合征,但证据对虚假或其他SCS模式的优势是相互矛盾的.
  • 周围神经刺激显示神经性四肢疼痛的证据低至中等,偏头痛和背部疼痛的证据相矛盾.
  • 对于慢性疼痛,神经病痛和头痛,诸如重复性跨磁刺激和跨直流刺激等非侵入性方法的证据是混合的或低质量的.

结论:

  • 各种神经调节治疗慢性疼痛的有效性得到了混合或低质量的证据的支持.
  • 进一步的研究对于评估长期有效性,对医疗利用的影响以及完善神经调节的患者选择和治疗参数至关重要.