在健康成年人中探索机械疼痛敏感性的内源性昼夜节律
Chung Jung Mun1, Evan Raiewski2, Jeffrey A Elliott3
1Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Neurology, Mayo Clinic Arizona, Phoenix, AZ, USA.
The journal of pain
|November 9, 2025
概括
健康的成年人在机械疼痛敏感性方面表现出强烈的昼夜节律,疼痛在上午1点44分最高,下午1点44分最低. 这一发现对于个性化疼痛管理至关重要.
科学领域:
- 时间生物学 时间生物学
- 疼痛研究 疼痛研究
- 人体生理学 人体生理学
背景情况:
- 疼痛敏感度的日间变化已经得到了充分的证据.
- 之前的研究已经确定了热痛中的昼夜节律,但不是机械疼痛.
- 了解昼夜疼痛调节是有效疼痛管理的关键.
研究的目的:
- 为了研究机械 (压力) 疼痛敏感性的昼夜调节.
- 使用26小时的超短睡眠-觉醒协议来评估昼夜节律.
- 在机械疼痛敏感性中确定内源性昼夜节律的存在和特征.
主要方法:
- 使用了26小时的超短睡眠-觉醒协议,其中2小时的觉醒/1小时的睡眠周期.
- 这种协议将睡眠和光线等昼夜掩盖因素降到最低.
- 在23名健康成年人中,压力疼痛值在26小时的时间内被测量了9次.
主要成果:
- 副鼻分析显示,机械疼痛敏感度 (R2 = 0.93) 中存在显著的昼夜节律.
- 缩期 (最低的灵敏度) 发生在下午1点44分,缩期 (最高的灵敏度) 发生在上午1点44分.
- 大幅度 (0.62) 表示疼痛敏感度的每日变化很大.
结论:
- 这项研究证实了机械疼痛敏感性强大的内源性昼夜节律.
- 循环节时间显著影响健康个体的机械疼痛感知.
- 研究结果支持将昼夜节律整合到疼痛评估和个性化疼痛医学的时间治疗中.
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