国际麻醉学与复苏杂志   2018, Issue (9): 0-0
    
慢性疼痛中脊髓结构重塑的研究进展
孟笑炎, 俞卫锋1()
1.第二军医大学第三附属医院
Structural remodeling and reorganization of spinal cord in chronic pain
 全文:
摘要:

背景 慢性疼痛并不仅仅是急性疼痛的持续状态,涉及更复杂的病理生理机制。目前的研究主要关注于慢性疼痛时中枢神经系统功能性改变与行为、感觉变化的关系。 目的 综述急性疼痛慢性化过程中,痛信号转导通路从外周到中枢水平发生的结构性改变。 内容 脊髓是痛觉信息传导的重要部位。外周伤害性信号的持续输入会引起脊髓的突触、细胞和神经环路中发生一系列结构重塑,这些结构性的改变与疼痛的慢性持续状态密切相关。 趋向 慢性疼痛中中枢神经系统的结构性改变可能是外周损伤因素去除后慢性疼痛仍持续存在的病理机制,是未来治疗慢性疼痛的主要方向。

关键词: 慢性疼痛; 脊髓; 结构重塑
Abstract:

Background Chronic pain, which involves unclarified pathophysiologic mechanism, is not simply a continuum of acute pain. Studies on functional modification in central nervous system of chronic pain have provided various modulatory factors and evidences of changing in perception and behavior. Objective The present review aims to summarize the modifications occur in the context of structural remodeling and reorganization of nociceptive pathway in the process of forming chronic pain. Content In spinal cord, long?蛳term nociceptive inputs may be associated with modifications in synapses, cells and circuits. It can induce remodeling of these micro anatomy structure and potentially contribute to the sustaining status of chronic pain. Trend The structural remodeling of central nerve system in chronic pain may lie the pathological mechanism of pain sensation after the relieving of nociceptive input and provide a more effective treatment method for chronic pain.

Key words: Chronic pain; Spinal cord; Structural modification