中央和外围烧嘴综合征 (BMS) 患者的条件化疼痛调制差异
Guangju Yang1, Jianqiu Jin2,3, Kelun Wang4,5
1Department of Prosthodontics and Center for Oral Functional Diagnosis, Treatment and Research, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Key Laboratory of Digital Stomatology, Beijing, China.
Journal of oral rehabilitation
|November 4, 2024
概括
燃烧口腔综合征 (BMS) 患者表现出疼痛调节受损,中心BMS比外围BMS表现出更显著的缺陷. 这表明BMS是一种异质的疾病,具有不同的疼痛机制.
科学领域:
- 神经科学是一个神经科学.
- 疼痛研究 疼痛研究
- 口腔医学是指口腔医学.
背景情况:
- 燃烧口腔综合征 (BMS) 是一种复杂的慢性疼痛状况.
- 在BMS的基本疼痛机制尚未完全理解.
- 有条件的疼痛调制 (CPM) 反映了内源性疼痛抑制途径的完整性.
研究的目的:
- 在患有口腔炎综合征 (BMS) 的患者中研究条件疼痛调节 (CPM) 能力.
- 为了区分BMS患者之间的CPM功能,假定中心与外围疼痛机制.
- 将BMS患者的CPM与健康对照进行比较.
主要方法:
- 一项随机对照试验,涉及20名BMS患者和22名健康对照.
- 根据对语言神经阻塞的反应,BMS患者被分为中央 (n=11) 和外围 (n=9) 亚组.
- 使用冷水浸泡评估CPM,测量机械疼痛值 (MPT) 和风起比率 (WUR) 的变化.
主要成果:
- 与健康对照组相比,BMS患者显示CPM有效性降低.
- 中央BMS患者在疼痛部和对照部都显著降低了CPM.
- 周围BMS患者仅在疼痛部位表现出降低的CPM.
结论:
- BMS的特点是中心疼痛抑制处理受损.
- 在中央和外围BMS表型之间,CPM损伤的程度不同.
- 这些发现支持BMS作为异质疼痛障碍的概念.
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