在实验人类疼痛模型之后,自主神经系统的启动
Paulina Simonne Scheuren1,2, Sofia Bösch1, Jan Rosner1,2,3
1Spinal Cord Injury Center, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Journal of neurophysiology
|July 5, 2023
概括
对疼痛的自主反应不仅仅是由于敏感或兴奋. 相反,实验性疼痛模型主要是神经系统,使其对有害刺激更具反应性,这表明在慢性疼痛中起着更广泛的作用.
科学领域:
- 神经科学是一个神经科学.
- 疼痛研究 疼痛研究
- 自主神经系统的自主神经系统
背景情况:
- 对有害刺激的自主反应在疼痛状态中受到调节.
- 这些调制可能源于感觉敏感或兴奋增加.
- 区分这些机制对于理解疼痛病理生理学至关重要.
研究的目的:
- 区分敏感和兴奋介导的对有害刺激的自主反应.
- 调查实验热痛模型对同情皮肤反应 (SSRs) 的影响.
- 探索自主神经系统在疼痛感知中的作用.
主要方法:
- 在实验性热痛模型 (EXP) 和对照模型 (CTRL) 之前和之后,记录了20名健康女性的SSR.
- 应用了个别适应的针刺和热刺激,以引起4/10的疼痛感知.
- 在整个实验中评估心率,心率变化和皮肤导电水平 (SCL).
主要成果:
- 在对照组中,SSR从刺激前到刺激后习惯,但在实验组中没有.
- 背景SCL在实验组中在针刺和热刺激时都升高.
- 对两种刺激模式都观察到增强的SSR,与感知反应和感知敏感度分离.
结论:
- 在实验性疼痛后增强的自主反应可能是由于自主神经系统的原始化,而不仅仅是感知敏感或兴奋.
- 自主读数可以客观地评估 nociceptive 敏感性和自主神经系统启动.
- 自主神经系统的原始化可能会导致不同的临床疼痛表型和慢性疼痛中普遍的过度刺激性.
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