诺西普拉斯痛:这个概念的争议
1Independent Researcher, Vilnius, Lithuania.
The Korean journal of pain
|January 1, 2025
概括
诺基普拉斯痛,一种新的类别的慢性疼痛没有明显的组织损伤,是辩论. 它在没有有害输入的情况下的持续性与中央敏感化机制相矛盾,质疑其作为一个独特的诊断的有效性.
科学领域:
- 疼痛研究 疼痛研究
- 神经学 神经学
- 临床疼痛科学 临床疼痛科学
背景情况:
- 经典疼痛分类包括感觉性 (组织损伤) 和神经病变性 (神经损伤) 疼痛.
- 慢性疼痛状况,如偏头痛和纤维肌痛,可能不符合这些类别.
- 国际疼痛研究协会推出了"nociplastic疼痛",用于没有透明组织或神经损伤的疼痛.
研究的目的:
- 为了回顾Nociplastic疼痛概念的有争议的方面.
- 批判性地评估拟议的病理生理机制和nociplastic疼痛的临床实用性.
主要方法:
- 叙述性综述侧重于诺西普拉斯痛的有争议和争论的元素.
- 对有关疼痛机制,中央敏感化和诊断标准的现有文献进行分析.
主要成果:
- 自主持久的nociplastic疼痛 (没有有害的输入) 的概念是有争议的.
- 持久的中央敏感性,通常与nociplastic疼痛相关,通常需要持续的有害输入.
- 在生物学中",塑料"一词意味着适应,而不是不适应,创造了一个逻辑上的不一致.
结论:
- 在没有引起损害的情况下,诺西普拉斯痛的持续性是可疑的,可能与已知的敏感化机制相矛盾.
- 潜在的机制可能涉及未被诊断的疾病,错误的应用可能会阻碍对神秘原因的诊断.
- 诺西普拉斯痛应该被视为一种疼痛机制,而不是一个独立的诊断,需要进一步的批判性讨论.
关键词:
中枢神经系统敏感化 敏感化慢性疼痛 慢性疼痛 慢性疼痛复杂的区域性疼痛综合征复杂的区域性疼痛综合征诊断 诊断 诊断 诊断 诊断纤维肌痛是一种纤维肌痛.过敏症是一种过敏症.神经疼痛是一种神经疼痛.没有感觉,没有感觉.更多相关视频
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