时间型与慢性神经病痛疼痛敏感性之间的关联:试点前性,观察性,单中心,横截面研究
Michael Kim1, Yuri C Martins2, Kishan Patel3
1University of Arizona Medical School, Tucson, AZ.
Pain physician
|December 17, 2024
概括
早晨的时间型个体经历了较高的神经病痛强度,但较少的疼痛干扰. 这表明早晨的时间型对疼痛更敏感,但功能性受损较小.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 疼痛管理 疼痛管理
背景情况:
- 时间型,一个人的睡眠和清醒偏好,与疼痛敏感性有关.
- 早晨的时刻型显示出对肌肉骨疼痛和头痛的保护.
- 时间型和神经病痛疼痛敏感性之间的关联尚未得到充分理解.
研究的目的:
- 为了研究时间型,神经病痛疼痛敏感性和疼痛干扰之间的关系.
- 探索慢性神经病痛患者疼痛强度和干扰的预测因素.
主要方法:
- 展望性,观察性,横截面的试点研究.
- 使用早上-晚上问卷 (MEQ) 进行时间型评估.
- 使用线性混合效应模型,PCA和PCR进行数据分析.
主要成果:
- 早晨慢型患者报告疼痛强度更高 (NRS分数).
- 早晨慢型患者报告了下部疼痛干扰 (PROMIS-PI得分).
- MEQ,抑郁症,睡眠呼吸暂停风险,睡眠质量和BMI预测了疼痛得分.
结论:
- 早晨的时间型表现出对神经病痛的敏感性增加.
- 尽管敏感度更高,但早晨的时刻型经历的疼痛干扰较少.
- 需要进行更大规模的研究来证实这些发现在不同人群中.
相关概念视频
Nociception
27.7K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.7K
Pain
454
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
454
Analgesia and Pain Management
496
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
496


