雄激素对实验性疼痛敏感性的作用:一个系统性审查和元分析
Elizabeth Wu-Chen1, Gourav Banerjee1,2, Elise Requadt3
1Division of Clinical and Translational Research, Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.
Pain reports
|March 19, 2025
概括
像丸激素一样的雄激素可能不会显著影响人类的疼痛敏感性. 这次审查没有发现强有力的证据将雄激素水平或干预措施与成人实验疼痛反应的变化联系起来.
科学领域:
- 内分泌学 在内分泌学.
- 疼痛研究 疼痛研究
- 人体生理学 人体生理学
背景情况:
- 动物研究表明,雄激素,特别是,具有镇痛作用.
- 雄激素对人类疼痛敏感性的影响在很大程度上仍未得到证实.
- 实验性疼痛模型提供了一个可控的环境来研究这些影响.
研究的目的:
- 系统地审查和分析现有的关于雄激素和实验性疼痛敏感性的人类研究.
- 综合关于雄激素水平和疼痛感知之间的关系的发现.
- 评估雄激素水平变化对疼痛值和评分的影响.
主要方法:
- 一项全面的文献搜索确定了31项相关研究.
- 包括的研究检查了雄激素-疼痛敏感性关系,群体差异和干预效应.
- 在可行的情况下,对相关联和干预数据进行了元分析.
主要成果:
- 大多数研究集中在丸激素上,对其他雄激素的数据有限.
- 总的来说,目前的证据不支持雄激素对成年男性和女性实验性疼痛敏感性的显著影响.
- 分析显示,水平与热或电痛敏感性之间没有显著的相关性.
结论:
- 雄激素,特别是在调节人类实验性疼痛敏感性的作用似乎很小.
- 研究之间显著的异质性表明需要谨慎的解释.
- 未来的研究应该探索其他雄激素和激素相互作用在疼痛调节.
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