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Opioids affect inflammation and the immune system 阿片类药物会影响炎症和免疫系统
Pub Date : 1998-10-01 DOI: 10.1191/096813098673417837
M. Kranjnik, I. Finlay, Z. Żylicz
Neurogenic inflammation, with its associated hyperalgesia, is linked to release of neuropeptide mediators including substance P, calcitonin gene-related peptide and corticotrophin-releasing factor. The release of substance P may be modified by opioid receptors on afferent nerve terminals. It is known to be a major mediator of neurogenic inflammation in synovia and is implicated in lymphocyte proliferation and arthritic bone changes. However, opioids may inhibit plasma extravasation and appear to decrease substance P r e l e a s e . Opioid peptides are found in inflamed tissues, released early by interleukin-1 and later by a corticotrophin-releasing factor effect. Opioids appear to interact with interleukins and may act as signalling molecules between immunologically active cells. Endogenous opioids tend to stimulate and exogenous opioids tend to suppress the immune system; information from infections in opioid addicts suggests that this has clinical signific a n c e . Thus, the effect of opioids in modifying the peripheral inflammatory response indicates an analgesic potential at peripheral afferent receptors.
神经源性炎症及其相关的痛觉过敏与神经肽介质的释放有关,包括P物质、降钙素基因相关肽和促肾上腺皮质激素释放因子。P物质的释放可能受到传入神经末梢阿片受体的调控。众所周知,它是滑膜神经源性炎症的主要介质,与淋巴细胞增殖和关节炎性骨改变有关。然而,阿片类药物可能会抑制血浆外渗,似乎会降低血浆中P物质的含量。阿片肽存在于炎症组织中,早期由白细胞介素-1释放,后期由促肾上腺皮质激素释放因子作用释放。阿片类物质似乎与白细胞介素相互作用,并可能作为免疫活性细胞之间的信号分子。内源性阿片类药物倾向于刺激免疫系统,外源性阿片类药物倾向于抑制免疫系统;来自阿片类药物成瘾者感染的信息表明,这在临床上具有重要意义。因此,阿片类药物在改变外周炎症反应中的作用表明外周传入受体具有镇痛潜力。
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引用次数: 8
Peripheral nerve blockade in the treatment of pain 周围神经阻滞在疼痛治疗中的应用
Pub Date : 1998-10-01 DOI: 10.1191/096813098675014878
H. Fischer
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引用次数: 3
The clinical use of tramadol hydrochloride 盐酸曲马多的临床应用
Pub Date : 1998-10-01 DOI: 10.1191/096813098668122984
T. Bamigbade, R. Langford
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引用次数: 117
Pain management in the burned patient 烧伤病人的疼痛处理
Pub Date : 1998-10-01 DOI: 10.1191/096813098666525736
K. Judkins
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引用次数: 12
Clinical aspects of present models of neuropathic pain 目前神经性疼痛模型的临床方面
Pub Date : 1998-07-01 DOI: 10.1191/096813098667425213
P. Siddall, M. Cousins
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引用次数: 3
Natural history of nociceptor sensitization: the search for a peripheral mechanism of hyperalgesia 伤害感受器致敏的自然史:寻找痛觉过敏的外周机制
Pub Date : 1998-07-01 DOI: 10.1191/096813098678013353
K. Mizumura
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引用次数: 15
Neuromodulation in Europe: regulation, variation and trends 欧洲的神经调节:调节、变化和趋势
Pub Date : 1998-07-01 DOI: 10.1191/096813098674315767
B. Simpson
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引用次数: 3
Present models of neuropathic pain 目前的神经性疼痛模型
Pub Date : 1998-07-01 DOI: 10.1191/096813098672721191
D. Ralston
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引用次数: 10
Prevention and control of pain in children 儿童疼痛的预防和控制
Pub Date : 1998-04-01 DOI: 10.1191/096813098677316312
N. Morton
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引用次数: 2
Nonopioid analgesics in the treatment of pain due to malignant disease 非阿片类镇痛药在恶性疾病疼痛治疗中的应用
Pub Date : 1998-04-01 DOI: 10.1191/096813098666727985
J. Sykes, G. Hanks
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引用次数: 2
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Reviews in pain
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