偏头痛和其他形式的慢性疼痛之间的关系
Jason C Ray1, Manjit Matharu2, Elspeth Hutton3
1Department of Neurology, Austin Health, Heidelberg, VIC, Australia; Department of Neurology, Alfred Health, Melbourne, VIC, Australia; Department of Neuroscience, Monash University, Melbourne, VIC, Australia.
Handbook of clinical neurology
|February 2, 2024
概括
偏头痛残疾增加了伴随性慢性疼痛疾病,如IBS和纤维肌痛. 双向机制可能将偏头痛与这些疼痛障碍联系起来,影响治疗策略.
科学领域:
- 神经学 神经学
- 疼痛医学 医学 疼痛医学
- 胃肠病学 胃肠病学
背景情况:
- 偏头痛是一种流行的神经系统疾病.
- 伴随性慢性疼痛疾病经常与偏头痛并存.
- 这些并发症包括内脏 (如IBS,子宫内膜异位症) 和非内脏 (如纤维肌痛,腰部疼痛) 疼痛障碍.
研究的目的:
- 探索偏头痛和并发性慢性疼痛疾病之间的关系.
- 总结关于这些并发症的现有证据.
- 讨论患有并发症患者的治疗影响.
主要方法:
- 对检查偏头痛并发症的研究进行文献综述.
- 分析证据,将内脏和非内脏疼痛状况与偏头痛联系起来.
- 讨论关于双向关系的拟议机制.
主要成果:
- 偏头痛和各种慢性疼痛疾病之间存在显著的关联.
- 外周和中心敏感性可能在偏头痛的慢性化和并发性疾病的发展中起作用.
- 伴随性疾病可能会加剧偏头痛的频率和严重程度.
结论:
- 偏头痛和其他慢性疼痛疾病的同时发生表明共享的潜在病理生理机制.
- 了解这些联系对于开发有效的综合治疗方法对于伴随性疼痛患者至关重要.
- 对双向关系和敏感化途径的进一步研究是有必要的,以改善患者的治疗结果.
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