自生训练对疼痛调节在燃烧口腔综合征的影响:一项初步研究
Keita Takizawa1, Kana Ozasa1, Kohei Shimizu2
1Department of Oral Medicine, Nihon University School of Dentistry, Tokyo, JPN.
Cureus
|April 15, 2025
概括
自生训练 (AT) 通过改善疼痛调节,有效地减少了慢性灼热口腔综合征 (BMS) 患者的疼痛. 这种放松技术为治疗慢性BMS疼痛提供了潜在的辅助疗法.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 心理生理学 心理生理学
背景情况:
- 燃烧口腔综合征 (BMS) 是一种慢性疼痛状况,没有确定的治疗方法.
- 自生训练 (AT) 是一种放松技术,它影响参与疼痛和情绪调节的大脑区域.
- 在BMS等慢性疼痛疾病中观察到降低条件疼痛调制 (CPM) 效率和增加焦虑.
研究的目的:
- 评估AT对BMS患者自发疼痛的影响.
- 为了确定AT是否改善BMS患者的CPM,特别是那些患有慢性疾病的患者.
主要方法:
- 28名BMS患者 (次慢性和慢性) 和17名健康志愿者参与了这项研究.
- 在AT干预之前和之后,测量了疼痛的时间总和 (TSP) 和CPM.
- 用非主导手的条件刺激 (疼痛或非疼痛) 来评估CPM.
主要成果:
- 在慢性BMS组 (>6个月) 中,AT显著减少了自发疼痛.
- 慢性BMS患者的CPM在痛苦的调节刺激期间得到改善,这表明疼痛调节增强.
- 在BMS持续时间和CPM与痛苦的调节刺激之间发现了负相关性.
结论:
- 亚特是慢性BMS的潜在辅助疗法,通过增强疼痛调节和情绪调节来减少疼痛.
- 特别是在慢性BMS (疼痛持续时间>6个月) 的患者中观察到AT的益处.
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