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Pain

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单位: [1]Fourth Mil Med Univ, Inst Biomed Sci Pain IBSP, Tangdu Hosp, Xian, Shaanxi, Peoples R China [2]Peking Univ, Neurosci Res Inst, Beijing, Peoples R China [3]Peking Univ, Minist Hlth, Key Lab Neurosci, Beijing, Peoples R China [4]Peking Univ, Minist Educ, Key Lab Neurosci, Beijing, Peoples R China [5]Fudan Univ, Inst Brain Sci, Inst Neurobiol, Shanghai, Peoples R China [6]Fudan Univ, State Key Lab Med Neurobiol, Shanghai, Peoples R China [7]Univ Maryland, Sch Dent, Dept Neural & Pain Sci, Baltimore, MD 21201 USA [8]Univ Maryland, Program Neurosci, Baltimore, MD 21201 USA [9]Natl Yang Ming Univ, Taipei Vet Gen Hosp, Inst Brain Sci, Integrated Brain Res Unit, Taipei, Taiwan [10]Chinese Acad Sci, State Key Lab Cell Biol, Inst Biochem & Cell Biol, Beijing, Peoples R China [11]Capital Med Univ, Dept Neurobiol, Beijing, Peoples R China [12]Hyogo Univ Hlth Sci, Sch Pharm, Dept Pharm, Kobe, Hyogo, Japan [13]China Japan Friendship Hosp, Dept Pain Med, Beijing, Peoples R China [14]Univ Cincinnati, Coll Med, Dept Anesthesiol, Cincinnati, OH USA [15]Univ Miami, Dept Anesthesiol, Miami, FL USA [16]Fourth Mil Med Univ, PLA, Dept Neurobiol, Xin, Peoples R China [17]Fourth Mil Med Univ, PLA, Inst Neurosci, Xin, Peoples R China [18]Shanghai Univ, Sch Life Sci, Shanghai, Peoples R China [19]Capital Med Univ, Beijing Xuanwu Hosp, Beijing, Peoples R China [20]Fourth Mil Med Univ, Dept Anat Histol & Embryol, Xin, Peoples R China [21]Univ Texas Arlington, Coll Sci, Dept Psychol, Arlington, TX 76019 USA [22]Sun Yet Sen Univ, Pain Res Ctr, Guangzhou, Peoples R China [23]Capital Med Univ, Beijing Tiantan Hosp, Dept Pain Med, Beijing, Peoples R China [24]Fourth Mil Med Univ, Xijing Hosp, Dept Anesthesiol, Xin, Peoples R China [25]Chinese Acad Sci, Inst Psychol, Beijing, Peoples R China [26]Peking Union Med Coll & Chinese Acad Med Sci, Dept Anat Histol & Embryol, Beijing, Peoples R China [27]Chinese Acad Sci, Shenzhen Inst Adv Technol, Beijing, Peoples R China [28]Johnson & Johnson, Janssen Pharmaceut Co, Antwerp, Belgium [29]Acad Sinica, Inst Biomed Sci, Taipei, Taiwan [30]Parker Univ, Parker Res Inst, Sect Basic Sci Res, Dallas, TX USA [31]Xi An Jiao Tong Univ, Sch Med, Dept Physiol & Pathophysiol, Xian, Peoples R China [32]Johns Hopkins Univ, Dept Anesthesiol & Crit Care Med, Baltimore, MA USA [33]Jinan Univ, Guangzhou Red Cross Hosp, Dept Pain Med, Guangzhou, Peoples R China [34]Soochow Univ, Inst Neurosci, Dept Neurobiol & Psychol, Suzhou, Peoples R China [35]Shanghai Jiao Tong Univ, Sch Med, Shanghai, Peoples R China [36]Peking Univ, Sch Life Sci, Beijing, Peoples R China [37]Gen Hosp PLA, Dept Neurol, Beijing, Peoples R China [38]Nanchang Univ, Dept Pain Med, Nanchang, Jiangxi, Peoples R China [39]Sixth Shenzhen Renmin Hosp, Dept Pain Med, Shenzhen, Peoples R China [40]Chinese Acad Sci, Inst Neurosci, Beijing, Peoples R China [41]Fudan Univ, Inst Brain Sci, Shanghai, Peoples R China [42]Univ Toronto, Dept Physiol, Fac Med, Toronto, ON, Canada
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关键词: Acupuncture modulation of pain Amygdala Axonal reflex Behavioral pain hypersensitivity Bell-Magendie law Biochemical neuroimaging pain Cerebellum Disinhibition Functional neuroimaging Pain Gabapentin Gate-control theory of pain Glial cells Hyperalgesia Hypothalamus Insula K2P Nerve injury-induced neural plasticity Neurochemical markers Neurogenic inflammation Neuromodulation Nociception Nociceptive flexion reflex (NFR) Nociceptive specific (NS) neurons Nonsteroidal anti-inflammatory drugs (NSAIDs) P2X3 receptor P2Y receptors Acupuncture modulation Brain matrix Brain mechanisms Cortical and subcortical processing Drug modulation Gene therapy and stem cell treatment Neuropathic Peripheral mechanisms Placebo modulation Psychological modulation Specificity theory Pain matrix Peptidergic population of C nociceptors Periaqueductal gray (PAG) Peripheral nociceptors Primary afferent depolarization (PAD) Pro-inflammatory cytokines Rostral ventromedial medulla (RVM) Spinal cord dorsal horn Spinal pain sensory neurons Structural neuroimaging Tanezumab Thalamic pain syndrome Transient receptor potential vanilloid receptor 1 (TRPV1) Tripartite synaptic model Vanilloid receptor-like protein 1 (VRL1) Ventrolateral orbital cortex (VLO) Voltage-gated potassium channels (VGPCs) Voxel-based morphometry Windup phenomenon

摘要:
Pain is one of the most common causes of suffering. The physiological function of pain is to alert the body of potentially noxious conditions encountered from the external or internal environment. Pain can be differentiated into acute pain and chronic pain according to its duration, with 3 months as a tentative defining point in humans. Acute pain is good for protection from dangerous health issues and relatively easy to control. Chronic pain, on the other hand, is absolutely annoying and notoriously difficult to manage. Chronic pain can be induced by various causes, such as inflammatory or metabolic disorders of the peripheral tissue, musculoskeletal strain, peripheral or central nervous lesion and diseases, etc., yet their common mechanism is hypersensitivity of the pain transmission and perception systems, which may result in a structural disorganization. The suffering from chronic pain has been a powerful driving force for pain research both in academic institutions and in the industry. This chapter focuses on the system of noxious signal transmission, from the ion channel and nociceptor to the psychological reaction, from the ascending pain perception pathways to the descending pain modulatory pathways, being facilitatory or inhibitory. Principles of biomedical interventions on acute and chronic pain are also outlined.

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第一作者单位: [1]Fourth Mil Med Univ, Inst Biomed Sci Pain IBSP, Tangdu Hosp, Xian, Shaanxi, Peoples R China
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