如何区分非炎症性和炎症性疼痛在RA?
Sharmila Khot1, George Tackley2, Ernest Choy3
1Department of Anaesthesia, Intensive Care and Pain Medicine, Cardiff and Vale University Health Board, Cardiff CF14 4XW and Cardiff University Brain Research Imaging Centre (CUBRIC), Cardiff University, Maindy Road, Cardiff, Wales, CF24 4HQ, UK. khots@cardiff.ac.uk.
Current rheumatology reports
|August 9, 2024
概括
类风湿性关节炎 (RA) 中的非炎症性疼痛往往是无囊性疼痛,起源于中枢神经系统 (CNS) 的重组. 建议个性化管理,优先考虑非药物治疗.
科学领域:
- 类风湿病学 类风湿病学
- 疼痛医学 医学 疼痛医学
- 神经科学是一个神经科学.
背景情况:
- 在类风湿性关节炎 (RA) 中管理非炎症性疼痛对风湿病学家来说是一个重大挑战.
- 持续的疼痛,尽管最佳的RA治疗,影响患者和医生.
- 区分非炎症性和炎症性疼痛对于有效的RA治疗至关重要.
研究的目的:
- 审查关于区分非炎症性和炎症性RA疼痛的最新研究.
- 探索非炎症性RA疼痛的神经生物学.
- 讨论目前和未来的非炎症性RA疼痛的管理策略.
主要方法:
- 文学评论最近的研究关于nociplastic疼痛.
- 对非炎症性疼痛背后的神经生物学机制的分析.
- 评估当前基于证据的指导方针,用于 RA 疼痛管理.
主要成果:
- 诺西普拉斯痛是一种新的术语,描述的是由中枢神经系统重组驱动的疼痛,而不是关节炎症或神经损伤.
- 这个概念包括RA的非炎症性疼痛.
- 个性化疼痛管理,强调非药物干预,得到证据的支持.
结论:
- 非炎症性RA疼痛越来越多地被理解为nociplastic疼痛.
- 建议采用个性化的管理方法,优先考虑非药物疗法.
- 未来的研究将专注于针对中枢神经系统的新型药物治疗剂.
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