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Reviews in pain最新文献

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Persistent dento-alveolar pain disorder (PDAP): Working towards a better understanding. 持续性牙槽疼痛障碍(PDAP):朝着更好的理解努力。
Pub Date : 2011-12-01 DOI: 10.1177/204946371100500404
Donald Nixdorf, Estephan Moana-Filho
• New terminology, persistent dento-alveolar pain disorder (PDAP), and diagnostic criteria have been put forward to address the shortcomings of existing nomenclature, which are associated with unclear criteria. • Arriving at an accurate diagnosis of PDAP is based on excluding other possible aetiologies, and may involve different care providers. • Synthesis of published data suggests that PDAP has a frequency of occurrence following root canal therapy of around 1.6%. • The putative risk factors involved in PDAP are largely unknown, but seem to be similar to those being identified with other post-surgical chronic pain disorders. • The underlying mechanisms involved in the development of and/or perpetuating PDAP are unknown and the approach to treatment remains empiric in nature.
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引用次数: 47
Facet joint injections in the management of chronic low back pain: a review 关节突关节注射治疗慢性腰痛:综述
Pub Date : 2002-07-01 DOI: 10.1191/0968130202PR190RA
K. Wynne
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引用次数: 6
Psychological treatments for chronic low back pain: Past, present, and beyond 慢性腰痛的心理治疗:过去、现在和未来
Pub Date : 2002-04-01 DOI: 10.1191/0968130202PR187RA
J. Roelofs, M. D. Boissevain, M. Peters, J. Jong, J. Vlaeyen
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引用次数: 13
Solicitousness and chronic pain: a critical review 关怀和慢性疼痛:一个重要的回顾
Pub Date : 2002-04-01 DOI: 10.1191/0968130202PR186RA
T. Newton-John
This article offers a critical review of the literature examining spouse responses to the pain behaviour of chronic pain patients. An overview is given of 27 studies that have explored patient‐ spouse interactions in chronic pain, together with a summary of the various e ndings. It is concluded that the body of research is broadly supportive of the operant behavioural paradigm on which it has developed. Patients’ coping with chronic pain is signie cantly ine uenced by the ways in which those closest to them respond to their expressions of discomfort. However, it is argued that the behavioural model alone is insufe cient when accounting for the complexity of pain couples’ interactions. The impact of the spouse’ s response is mediated by a range of cognitive and affective variables that have yet to be fully recognized in the research literature. It is also argued that the operationalization of the construct of solicitousness, which is central to research on chronic pain couples, is e awed. A number of suggestions for future theoretical and empirical developments in this area are made.
这篇文章提供了一个重要的文献审查配偶对慢性疼痛患者的疼痛行为的反应。本文概述了27项研究,这些研究探索了慢性疼痛患者与配偶的相互作用,并总结了各种结果。结论是,研究主体广泛支持其发展的操作性行为范式。患者应对慢性疼痛的方式在很大程度上受到他们最亲近的人对他们表达不适的反应的影响。然而,有人认为,当考虑到痛苦夫妻互动的复杂性时,单独的行为模型是不够的。配偶反应的影响是由一系列认知和情感变量介导的,这些变量在研究文献中尚未得到充分认识。也有人认为,关怀的结构的操作化,这是研究慢性疼痛夫妇的核心,是令人敬畏的。对这一领域未来的理论和实证发展提出了一些建议。
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引用次数: 87
Pain and cannabinoids: science and evidence. 疼痛和大麻素:科学和证据。
Pub Date : 2002-04-01 DOI: 10.1191/0968130202PR188RA
W. Farquhar-Smith
Pain and cannabinoids: science and evidence. The endogenous cannabinoid system is widespread and responsible for a number of modulatory functions, including analgesia. Akin to the endogenous opioid system, the analgesic actions of cannabinoids are mediated by the neuronal receptor ( CB1) and immune cell- expressed receptor ( CB2). Animal data have shown cannabinoids to be effective in many models of inflammatory and neuropathic pain. Less evidence is available from human studies, although investigation is under way. Ultimately, an effective cannabinoid analgesic should aim to be therapeutic but without the 'high' of unwanted central side effects.
疼痛和大麻素:科学和证据。内源性大麻素系统是广泛的,负责许多调节功能,包括镇痛。类似于内源性阿片系统,大麻素的镇痛作用是由神经元受体(CB1)和免疫细胞表达受体(CB2)介导的。动物数据显示大麻素对许多炎症性和神经性疼痛模型有效。尽管调查正在进行中,但从人体研究中获得的证据较少。最终,一种有效的大麻素镇痛药应该以治疗为目标,但没有不必要的中枢副作用的“高”。
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引用次数: 19
Musgrave–Mitchell–Charcot neuroarthropathy: a review and hypothesis Musgrave-Mitchell-Charcot神经关节病:综述与假设
Pub Date : 2002-04-01 DOI: 10.1191/0968130202PR185RA
Blake, N. Shenker, P. Mapp, R. Haigh, N. Harris
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引用次数: 0
Transcutaneous Electrical Nerve Stimulation (TENS) and TENS-like devices: do they provide pain relief? 经皮神经电刺激(TENS)和类似TENS的装置:它们能缓解疼痛吗?
Pub Date : 2001-10-01 DOI: 10.1191/0968130201PR182RA
Mark I. Johnson
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引用次数: 67
Anti-inè ammatory effects of k-opioids: relevance to rheumatoid arthritis Anti-inè k-阿片类药物的消炎作用:与类风湿关节炎相关
Pub Date : 2001-10-01 DOI: 10.1191/0968130201PR181RA
J. Walker
Therapy with opioids is an exciting new development for arthritis, especially since there is the potential for fewer side effects from molecules that act outside the central nervous system. We have found k-opioid drugs to be powerfully anti-in eammatory, reducing disease severity by as much as 80% and attenuating arthritis in a dose-dependent, stereoselective, antagonist-reversible manner. In contrast, opioids acting at other receptors were therapeutic only at near toxic doses. Currently, however, no pure k-opioids are available for clinical use. The hypothalamic-pituitary-adrenal axis was found to be only partially involved; thus we investigated other neural and immune mechanisms. The results showed that the k-opioid anti-in eammatory actions were exerted via: (1) reduced adhesion molecule expression; (2) inhibition of cell trafecking; (3) reduced tumour necrosis factor release; and (4) alterations in mRNA expression and substance P (SP) and calcitonin gene-related peptide protein in joint tissue. The ability of k-opioids to act at multiple sites in the in eammatory cascade, as suggested by the presence of opioid receptors at various locations throughout the cascade, may explain their powerful actions. k-Opioids are, however, most therapeutic during disease onset; thus it is likely they exert their anti-in eammatory effects predominantly via changes in cellular activation and cytokine expression rather than via the nervous system. The involvement of SP and the efecacy of neurokinin 1 (NK1) antagonists predicts that combined opioid ‐NK1 regimens have therapeutic promise. Peripherally acting opioids may prove to be a potent new treatment for rheumatoid arthritis sufferers in the future.
用阿片类药物治疗关节炎是一项令人兴奋的新进展,特别是因为在中枢神经系统外作用的分子可能会产生更少的副作用。我们发现k-阿片类药物具有强大的抗炎作用,可将疾病严重程度降低多达80%,并以剂量依赖性、立体选择性、拮抗剂可逆的方式减轻关节炎。相比之下,阿片类药物作用于其他受体只有在接近中毒剂量时才有治疗作用。然而,目前还没有纯的k-阿片类药物可供临床使用。下丘脑-垂体-肾上腺轴仅部分受累;因此,我们研究了其他的神经和免疫机制。结果表明,k-阿片类药物的抗炎作用主要通过:(1)降低粘附分子的表达;(2)抑制细胞转运;(3)肿瘤坏死因子释放减少;(4)关节组织中P物质(SP)和降钙素基因相关肽蛋白mRNA表达的改变。在整个级联的不同位置存在阿片受体,这表明k-阿片样物质在检查级联中的多个位置起作用的能力可能解释了它们的强大作用。然而,k-阿片类药物在疾病发病期间最具治疗作用;因此,它们可能主要通过细胞活化和细胞因子表达的变化而不是通过神经系统发挥抗炎作用。SP的参与和神经激肽1 (NK1)拮抗剂的有效性预示着阿片类药物- NK1联合治疗方案具有治疗前景。外周作用阿片类药物可能被证明是未来治疗类风湿性关节炎患者的一种有效的新疗法。
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引用次数: 0
Safety and tolerability of opioid analgesia: a comparable class profile? 阿片类镇痛药的安全性和耐受性:同类比较?
Pub Date : 2001-06-01 DOI: 10.1191/0968130201PR178RA
S. Grond, T. Meert, H. Noorduin
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引用次数: 2
Visceral chest pain: the role of neurostimulation 内脏性胸痛:神经刺激的作用
Pub Date : 2001-06-01 DOI: 10.1191/0968130201PR176RA
M. Börjesson, Henrik Norssell
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引用次数: 2
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Reviews in pain
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