条件疼痛调制 (CPM) 范式类型影响其作为纤维肌痛生物标志物的敏感性
A Gil-Ugidos1, A Vázquez-Millán2, N Samartin-Veiga2
1Department of Clinical Psychology and Psychobiology, Brain and Pain Lab, University of Santiago de Compostela, Santiago de Compostela, Spain. antonio.gil.ugidos@usc.es.
Scientific reports
|April 2, 2024
概括
有条件疼痛调制 (CPM) 可能有助于纤维肌痛诊断,并行测试方法在识别患者方面显示出更高的准确性. 然而,CPM与纤维肌痛症状严重程度没有相关性.
科学领域:
- 神经科学是一个神经科学.
- 疼痛研究 疼痛研究
- 临床生物标志物 临床生物标志物
背景情况:
- 纤维肌痛 (FM) 是一种慢性疼痛疾病,可能与疼痛抑制途径受损有关.
- 有条件的疼痛调制 (CPM) 被探索为一个潜在的生物标志物为FM.
- 测量CPM的不一致的方法阻碍了最终的结论.
研究的目的:
- 评估CPM作为FM生物标志物的有效性.
- 为了比较并行和顺序的CPM测试范式的有效性.
- 评估CPM指数与临床FM症状之间的相关性.
主要方法:
- 两种CPM模式 (并行和顺序) 在23名女性FM患者和23名健康对照中进行了测试.
- 应用了机械测试刺激和压力袖子调节刺激.
- 分析了分类准确性,响应率和与临床变量相关的相关性.
主要成果:
- 平行CPM范式正确分类了大约70%的FM患者.
- 响应率在健康人群中较高 (超过80%),相比于FM患者 (约50%).
- 连续的CPM测试显示敏感性降低,并且在CPM测量和临床症状之间没有发现显著的相关性.
结论:
- 选择CPM范式显著影响其作为FM生物标志物的实用性.
- CPM显示出作为FM诊断的补充工具的潜力.
- 作为FM疼痛严重程度的标志物,CPM的敏感性仍然值得怀疑.
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