慢性疼痛和阿片类药物成瘾的常见神经基础和靶向治疗方法。

Neuro endocrinology letters Pub Date : 2023-06-14
Chao-Jie Han, Zhen Shen, Tao Li, Mingze Tang, Wei Jiang, Cai Tie, Huihui Guo, Jun Gao, Yanxing Han, Tianle Gao
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摘要

慢性疼痛和药物成瘾严重威胁人类健康,并造成大量劳动力损失。大多数高度成瘾的药物都是由阿片类药物衍生而来的,这些药物有严重的副作用,很难完全戒除。另一方面,阿片类镇痛剂被广泛用于阿片类成瘾的解毒。这些阿片类药物对控制急性戒断症状有效,但在长期用作维持治疗时可能会出现问题。慢性疼痛和阿片类药物滥用都与大脑中的神经递质和中枢奖赏通路有关。为了为捍卫人类健康提供新的武器,本文根据慢性疼痛和阿片类药物成瘾的共同神经生物学基础,总结了它们的异同,并讨论了靶向治疗方法的突破。此外,我们还根据患者的个人情况,将药物、医疗器械和心理/行为疗法相结合,提出了一种创新的综合治疗方案,旨在达到更好的治疗这两类疾病的效果。
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The common neurological basis and targeted therapeutic approaches for chronic pain and opioid addiction.

Chronic pain and drug addiction seriously threaten human health and generate a large loss of labor. Most highly addictive drugs are derived from opioids, which have severe side effects and are difficult to quit completely. On the other hand, opioid analgesics are widely used in detoxification for opioid addiction. These opioids are effective for controlling acute withdrawal symptoms, but can be problematic under long-term usage as maintenance therapy. Both chronic pain and opioid abuse are related to neurotransmitters and central reward pathways in the brain. As to provide new weapons for defending human health, this article summarized the similarities and differences between chronic pain and opioid addiction, based on their common neurobiological basis, and discussed the breakthroughs in targeted therapeutic approaches. Furthermore, we have brought out an innovative and integrative therapeutic scheme by combining drugs, medical devices, and phycological / behavioral therapies, according to the patient's individual situation, aiming at achieving better effects against these two types of diseases.

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