[关于慢性术后疼痛的神经生物学机制的研究进展]
Yi-Qin Wang1, Wen-Jing Zhang1,2, Wu-Jun Geng1,2
1Oujiang Laboratory (Zhejiang Lab for Regenerative Medicine, Vision and Brain Health), Wenzhou 325000, China.
Sheng li xue bao : [Acta physiologica Sinica]
|March 4, 2026
概括
手术后疼痛影响了许多患者,其中很大一部分患有慢性疼痛. 了解其复杂的机制和风险因素对于更好的治疗策略至关重要.
科学领域:
- 疼痛研究 疼痛研究
- 手术并发症 手术并发症
- 神经科学是一个神经科学.
背景情况:
- 手术后疼痛影响41-85%的患者,10-50%的患者进展为慢性疼痛.
- 慢性疼痛显著降低了生活质量,增加了医疗保健负担.
- 从急性疼痛转变为慢性疼痛涉及复杂的生物和心理社会因素.
研究的目的:
- 系统地审查近期在术后疼痛方面的进展.
- 强调急性至慢性疼痛过渡的关键机制和干预目标.
- 为临床实践提供理论基础和基于证据的指导.
主要方法:
- 系统的文献审查.
- 风险因素,动物模型和病理生理机制的分析.
- 专注于治疗术后疼痛的治疗策略.
主要成果:
- 术后疼痛机制包括外周和中心敏感化以及皮质改变.
- 炎症反应和心理社会因素 (焦虑,抑郁,睡眠) 是至关重要的.
- 审查确定了预防慢性疼痛的潜在干预目标.
结论:
- 术后疼痛的有效管理需要了解其多方面的性质.
- 针对特定的机制和风险因素可以减轻慢性疼痛的进展.
- 本综述为改善临床策略和患者治疗结果提供了洞察力.
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