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Inhibition of Muscular Nociceptive Afferents via the Activation of Cutaneous Nociceptors in a Rat Model of Inflammatory Muscle Pain 被引量:3
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作者 Yehong Fang Jie Zhu +2 位作者 Wanru Duan Yikuan Xie Chao Ma 《Neuroscience Bulletin》 SCIE CAS CSCD 2020年第1期1-10,共10页
Topical irritants such as capsaicin(CAP),peppermint oil(PO),and mustard oil(MO)are effective in relieving inflammatory muscle pain.We investigated the effects of topical irritants in a rat model of inflammatory muscle... Topical irritants such as capsaicin(CAP),peppermint oil(PO),and mustard oil(MO)are effective in relieving inflammatory muscle pain.We investigated the effects of topical irritants in a rat model of inflammatory muscle pain produced by injecting complete Freund's adjuvant(CFA)into the tibialis anterior muscle.CFAinduced mechanical hypersensitivity and the spontaneous activity of muscular nociceptive afferents,and decreased weight-bearing of the hindlimb were relieved by topical application of CAP,PO,or MO on the skin overlying the inflamed muscle.The effects of topical irritants were abolished when applied to the skin on the ipsilateral plantar region or on the contralateral leg,or when the relevant cutaneous nerve or dorsal root was transected.Our results demonstrated that topical irritants may alleviate inflammatory muscle pain via activating cutaneous nociceptors and subsequently inhibiting the abnormal activity of muscular nociceptive neurons. 展开更多
关键词 Inflammatory muscle pain Muscular nociceptor Cutaneous nociceptor Capsaicin Introduction
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Nuclear Factor I/A Controls A-fiber Nociceptor Development
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作者 Lu Qi Guangjuan Yin +5 位作者 Yongchao Zhang Yeqi Tao Xiaohua Wu Richard M.Gronostajski Mengsheng Qiu Yang Liu 《Neuroscience Bulletin》 SCIE CAS CSCD 2020年第7期685-695,共11页
Noxious mechanical information is transmitted through molecularly distinct nociceptors,with pinprickevoked sharp sensitivity via A-fiber nociceptors marked by developmental expression of the neuropeptide Y receptor 2(... Noxious mechanical information is transmitted through molecularly distinct nociceptors,with pinprickevoked sharp sensitivity via A-fiber nociceptors marked by developmental expression of the neuropeptide Y receptor 2(Npy2 r)and von Frey filament-evoked punctate pressure information via unmyelinated C fiber nociceptors marked by MrgprD.However,the molecular programs controlling their development are only beginning to be understood.Here we demonstrate that Npy2 r-expressing sensory neurons are in fact divided into two groups,based on transient or persistent Npy2 r expression.Npy2 r-transient neurons are myelinated,likely including A-fiber nociceptors,whereas Npy2 r-persistent ones belong to unmyelinated pruriceptors that co-express Nppb.We then showed that the transcription factors NFIA and Runx1 are necessary for the development of Npy2 r-transient A-fiber nociceptors and MrgprD^+C-fiber nociceptors,respectively.Behaviorally,mice with conditional knockout of Nfia,but not Runx1 showed a marked attenuation of pinprick-evoked nocifensive responses.Our studies therefore identify a transcription factor controlling the development of myelinated nociceptors. 展开更多
关键词 Dorsal root ganglion Acute pain Pinprick pain Npy2r NPPB nociceptor A-fiber mechanonociceptor
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Nanoscale All-Oxide-Heterostructured Bio-inspired Optoresponsive Nociceptor 被引量:6
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作者 Mohammad Karbalaei Akbari Jie Hu +2 位作者 Francis Verpoort Hongliang Lu Serge Zhuiykov 《Nano-Micro Letters》 SCIE EI CAS CSCD 2020年第7期13-28,共16页
Retina nociceptor,as a key sensory receptor,not only enables the transport of warning signals to the human central nervous system upon its exposure to noxious stimuli,but also triggers the motor response that minimize... Retina nociceptor,as a key sensory receptor,not only enables the transport of warning signals to the human central nervous system upon its exposure to noxious stimuli,but also triggers the motor response that minimizes potential sensitization.In this study,the capability of two-dimensional all-oxide-heterostructured artificial nociceptor as a single device with tunable properties was confirmed.Newly designed nociceptors utilize ultra-thin sub-stoichiometric TiO2–Ga2O3 heterostructures,where the thermally annealed Ga2O3 films play the role of charge transfer controlling component.It is discovered that the phase transformation in Ga2O3 is accompanied by substantial jump in conductivity,induced by thermally assisted internal redox reaction of Ga2O3 nanostructure during annealing.It is also experimentally confirmed that the charge transfer in alloxide heterostructures can be tuned and controlled by the heterointerfaces manipulation.Results demonstrate that the engineering of heterointerfaces of two-dimensional(2D)films enables the fabrication of either high-sensitive TiO2–Ga2O3(Ar)or high-threshold TiO2–Ga2O3(N2)nociceptors.The hypersensitive nociceptor mimics the functionalities of corneal nociceptors of human eye,whereas the delayed reaction of nociceptor is similar to high-threshold nociceptive characteristics of human sensory system.The long-term stability of 2D nociceptors demonstrates the capability of heterointerfaces engineering for e ective control of charge transfer at 2D heterostructured devices. 展开更多
关键词 2D HETEROSTRUCTURES Artificial nociceptorS BIO-INSPIRED device Heterointerfaces engineering
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Thermal Effect of a Revolving Gaussian Beam on Activating Heat-Sensitive Nociceptors in Skin 被引量:2
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作者 Hongyun Wang Wesley A. Burgei Hong Zhou 《Journal of Applied Mathematics and Physics》 2021年第1期88-100,共13页
We consider the problem of inducing withdrawal reflex on a test subject by exposing the subject’s skin to an electromagnetic beam. Heat-sensitive nociceptors in the skin are activated wherever the temperature is abov... We consider the problem of inducing withdrawal reflex on a test subject by exposing the subject’s skin to an electromagnetic beam. Heat-sensitive nociceptors in the skin are activated wherever the temperature is above the activation temperature. Withdrawal reflex occurs when the activated volume reaches a threshold. Previously we studied static beams with 3 types of power density distribution: Gaussian, super-Gaussian, and flat-top. We found that the flaptop is the best and the Gaussian is the worst in their performance with regard to 1) minimizing the time to withdrawal reflex, 2) minimizing the energy consumption and 3) minimizing the maximum temperature increase. The less-than-desirable performance of Gaussian beams is attributed to the uneven distribution of power density resulting in low energy efficiency: near the beam center the high power density does not contribute proportionally to increasing the activated volume;outside the beam effective radius the low power density fails to activate nociceptors. To overcome the drawbacks of Gaussian beams, in this study, we revolve a Gaussian beam around a fixed point to make the power density more uniformly distributed. We optimize the performance over two parameters: the spot size of static beam and the radius of beam revolution. We find that in comparison with a static Gaussian beam, a revolving Gaussian beam can reduce the energy consumption, and at the same time lower the maximum temperature. 展开更多
关键词 Heat-Sensitive nociceptor Heat-Induced Withdrawal Reflex Revolving Gaussian Beam Optimizing Energy Consumption Non-Dimensional Analysis
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New models to study vulvodynia: hyperinnervation and nociceptor sensitization in the female genital tract
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作者 Christine M.Barry Kalyani K.Huilgol Rainer V.Haberberger 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第12期2096-2097,共2页
Vulvodynia is a prevalent form of chronic pain, most com- monly affecting the vaginal vestibule (vestibulodynia) (Pukall et al., 2016). Women with vulvodynia describe intense pain in response to light touch of the... Vulvodynia is a prevalent form of chronic pain, most com- monly affecting the vaginal vestibule (vestibulodynia) (Pukall et al., 2016). Women with vulvodynia describe intense pain in response to light touch of the affected region, such that sexual function and other activities can be severely limited. Medical costs associated with vulvodynia are high, exceeding $21 billion annually in the United States (Xie et al., 2012). The high level of direct medical costs has been linked to high treatment failure rates. Many women with the disorder consult multiple practitioners and undergo multiple courses of treatment with limited benefit. 展开更多
关键词 New models to study vulvodynia hyperinnervation and nociceptor sensitization in the female genital tract CFA
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Effect of Depth-Dependent Nociceptor Density on the Heat-Induced Withdrawal Reflex
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作者 Hongyun Wang Wesley A. Burgei Hong Zhou 《Applied Mathematics》 2020年第8期788-824,共37页
Previously we introduced a concise dose-response model for the heat-induced withdrawal reflex caused by millimeter wave radiation. The model predicts the occurrence of withdrawal reflex from the given spatial temperat... Previously we introduced a concise dose-response model for the heat-induced withdrawal reflex caused by millimeter wave radiation. The model predicts the occurrence of withdrawal reflex from the given spatial temperature profile. It was formulated on the assumption that the density of nociceptors in skin is uniform, independent of the depth. The model has only two parameters: the activation temperature of heat-sensitive nociceptors and the critical threshold on the activated volume for triggering withdrawal reflex. In this study, we consider the case of depth-dependent nociceptor density in skin. We use a general parametric form with a scaling parameter in the depth direction to represent the nociceptor density. We analyze system behaviors for four density types of this form. Based on the theoretical results, we develop a methodology for 1) identifying from test data the density form of nociceptors distribution, 2) finding from test data the scaling parameter in the density form, and 3) determining from test data the activation temperature of nociceptors. 展开更多
关键词 High-Energy Millimeter Wave Radiation Heat-Induced Pain Depth-Dependent nociceptor Density In Skin
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Artificial nociceptor based on TiO nanosheet memristor 被引量:4
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作者 Jinling Lan Gang Cao +1 位作者 Jingjuan Wang Xiaobing Yan 《Science China Materials》 SCIE EI CAS CSCD 2021年第7期1703-1712,共10页
With the development of technology,the learning and memory functions of artificial memristor synapses are necessary for realizing artificial neural networks and neural neuromorphic computing.Owing to their high scalab... With the development of technology,the learning and memory functions of artificial memristor synapses are necessary for realizing artificial neural networks and neural neuromorphic computing.Owing to their high scalability performance,nanosheet materials have been widely employed in cellular-level learning,but the behaviors of nociceptor based on nanosheet materials have rarely been studied.Here,we present a memristor with an Al/TiO_(2)/Pt structure.After electroforming,the memristor device showed a gradual conductance regulation and could simulate synaptic functions such as the potentiation and depression of synaptic weights.We also designed a new scheme that verifies the pain sensitization,desensitization,allodynia,and hyperalgesia behaviors of real nociceptors in the fabricated memristor.Memristors with these behaviors can significantly improve the quality of intelligent electronic devices.Data fitting showed that the high resistance and low resistance states were consistent with the hopping conduction mechanism.This work promises the application of TiO_(2)-based devices in next-generation neuromorphological systems. 展开更多
关键词 NANOSHEETS nociceptor MEMRISTORS artificial synapses SENSITIZATION
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Artificial synaptic simulating pain-perceptual nociceptor and brain-inspired computing based on Au/Bi_(3.2)La_(0.8)Ti_(3)O_(12)/ITO memristor
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作者 Hao Chen Zhihao Shen +6 位作者 Wen-Tao Guo Yan-Ping Jiang Wenhua Li Dan Zhang Zhenhua Tang Qi-Jun Sun Xin-Gui Tang 《Journal of Materiomics》 SCIE CSCD 2024年第6期1308-1316,共9页
Recently, memristors have garnered widespread attention as neuromorphic devices that can simulate synaptic behavior, holding promise for future commercial applications in neuromorphic computing. In this paper, we pres... Recently, memristors have garnered widespread attention as neuromorphic devices that can simulate synaptic behavior, holding promise for future commercial applications in neuromorphic computing. In this paper, we present a memristor with an Au/Bi_(3.2)La_(0.8)Ti_(3)O_(12) (BLTO)/ITO structure, demonstrating a switching ratio of nearly 103 over a duration of 104 s. It successfully simulates a range of synaptic behaviors, including long-term potentiation and depression, paired-pulse facilitation, spike-timing-dependent plasticity, spike-rate-dependent plasticity etc. Interestingly, we also employ it to simulate pain threshold, sensitization, and desensitization behaviors of pain-perceptual nociceptor (PPN). Lastly, by introducing memristor differential pairs (1T1R-1T1R), we train a neural network, effectively simplifying the learning process, reducing training time, and achieving a handwriting digit recognition accuracy of up to 97.19 %. Overall, the proposed device holds immense potential in the field of neuromorphic computing, offering possibilities for the next generation of high-performance neuromorphic computing chips. 展开更多
关键词 Artificial synapse MEMRISTOR Resistive switching Pain-perceptual nociceptor Neuromorphic computing
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Electric-Induced Cycloelimination for Simulating Structural Plasticity in Organic Nociceptors
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作者 Zhiheng Zhu Kai Liu +12 位作者 Haojie Huang Yangshuang Bian Mingcong Qin Chengyu Wang Wei Wen Mingliang Zhu Wenkang Shi Yanwei Liu Zhiyuan Zhao Huijuan Yan Hanlin Wang Yunqi Liu Yunlong Guo 《CCS Chemistry》 CSCD 2024年第6期1466-1476,共11页
Continuous lifelong acquisition,updating,and finetuning of knowledge and skills is of crucial significance for the survival of humans.However,current neuromorphic devices exhibit obvious catastrophic forgetting when r... Continuous lifelong acquisition,updating,and finetuning of knowledge and skills is of crucial significance for the survival of humans.However,current neuromorphic devices exhibit obvious catastrophic forgetting when restimulated by new information.This remains a challenge for neuromorphic devices and artificial intelligence to achieve continuous learning.Herein,we propose an electric-induced cycloelimination strategy to realize an organic transistor nociceptor that can simulate synaptic and structural plasticity.The system benefits from the ring-opening characteristics of cross-linked poly(vinyl cinnamate)under a strong pulse voltage,during which new energy-level trap states are formed.The prepared organic transistor nociceptors exhibit both structural and synaptic plasticity.They simulate the characteristics of human nociceptors,including threshold,relaxation,sensitization,and maladaptation behavior.For the first time,we have simulated and explored the structural plasticity behavior in organisms based on electronic devices.More remarkably,the transistor nociceptors realize the reinput of information without forgetting the initial informa tion.The strategy developed for the preparation of organic transistor nociceptors provides insights for addressing the catastrophic forgetting in the lifelong learning of intelligent neuromorphic devices. 展开更多
关键词 electric-induced cycloelimination structural plasticity organic nociceptors organic transistors METAPLASTICITY
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Intrinsic vacancy in 2D defective semiconductor In_(2)S_(3) for artificial photonic nociceptor
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作者 Peng Wang Wuhong Xue +2 位作者 Wenjuan Ci Ruilong Yang Xiaohong Xu 《Materials Futures》 2023年第3期148-155,共8页
It is crucial to develop an advanced artificially intelligent optoelectronic information system that accurately simulates photonic nociceptors like the activation process of a human visual nociceptive pathway.Visible ... It is crucial to develop an advanced artificially intelligent optoelectronic information system that accurately simulates photonic nociceptors like the activation process of a human visual nociceptive pathway.Visible light reaches the retina for human visual perception,but its excessive exposure can damage nearby tissues.However,there are relatively few reports on visible light–triggered nociceptors.Here,we introduce a two-dimensional natural defectiveⅢ–Ⅵsemiconductorβ-In_(2)S_(3)and utilize its broad spectral response,including visible light brought by intrinsic defects,for visible light–triggered artificial photonic nociceptors.The response mode of the device,under visible light excitation,is very similar to that of the human eye.It perfectly reproduces the pain perception characteristics of the human visual system,such as‘threshold,’‘relaxation,’‘no adaptation’,and‘sensitization’.Its working principle is attributed to the mechanism of charge trapping associated with the intrinsic vacancies in In_(2)S_(3)nanosheets.This work provides an attractive material system(intrinsic defective semiconductors)for broadband artificial photonic nociceptors. 展开更多
关键词 defective semiconductor In_(2)S_(3) intrinsic vacancy artificial photonic nociceptors
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基于A型电压门控的钾离子通道探讨IB4阳性伤害性感受器调控推拿对腰椎间盘突出症大鼠模型的镇痛作用机制
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作者 程艳彬 朱清广 房敏 《中华中医药杂志》 北大核心 2025年第7期3427-3434,共8页
目的:探讨A型电压门控的钾离子通道参与IB4阳性伤害性感受器调控推拿对腰椎间盘突出症(LDH)大鼠模型的镇痛作用机制。方法:将32只大鼠随机分为模型组、推拿组、阻断剂组和生理盐水组,采用背根神经节持续压迫模型模拟LDH病理变化。推拿... 目的:探讨A型电压门控的钾离子通道参与IB4阳性伤害性感受器调控推拿对腰椎间盘突出症(LDH)大鼠模型的镇痛作用机制。方法:将32只大鼠随机分为模型组、推拿组、阻断剂组和生理盐水组,采用背根神经节持续压迫模型模拟LDH病理变化。推拿组大鼠在造模后第4天开始推拿按揉术侧委中穴,阻断剂组和生理盐水组在此基础上分别在鞘内注射4-氨基吡啶和0.9%氯化钠溶液。造模后拍摄X线影像学,并分别于造模后第3、7、14、21天采用电子测痛仪和足底热点测痛仪测试各组大鼠机械刺激缩足反应阈值(PWT)和热刺激缩足潜伏期(PWL);干预结束后取大鼠L4、L5的背根神经节,采用Western Blot检测A型电压门控钾离子通道Kv1.4、Kv3.4、Kv4.3蛋白表达水平,并应用全细胞膜片钳技术检测各组A型电压门控的钾电流在干预后发生的动态变化情况。结果:模型组和阻断剂组大鼠的PWT、PWL在造模后下降趋势明显,两组之间在各时间点比较无显著差异;与同期模型组和阻断剂组比较,推拿组和生理盐水组在造模后至第7天呈逐渐下降趋势,第7天至第21天的各时间点呈逐渐上升趋势(P<0.01)。Western Blot结果显示,模型组和阻断剂组的Kv1.4、Kv3.4、Kv4.3蛋白表达水平显著低于推拿组(P<0.01,P<0.05);全细胞膜片钳检测表明推拿组和生理盐水组大鼠DRG细胞的钾离子电流显著低于模型组和阻断剂组(P<0.01)。结论:推拿可能通过调控表达在IB4阳性伤害性感受器上的A型电压门控钾离子通道蛋白表达和钾离子电流发挥对LDH大鼠模型的镇痛作用。 展开更多
关键词 腰椎间盘突出症 推拿镇痛 IB4阳性伤害性感觉器 A型电压门控的钾离子通道 钾离子电流
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针灸治疗效应的始动因素:C类多模态伤害感受器
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作者 陈汇霖 朱兵 王舒娅 《中国疼痛医学杂志》 北大核心 2025年第8期576-581,共6页
作为祖国医学的重要组成部分,针刺与热灸等体表刺激在镇痛与调节内脏功能等方面发挥着不可替代的治疗效应。随着现代神经生理学、分子生物学及基因编辑技术等快速发展,研究者可通过不同生物标记技术探究既往无法区分的细胞亚型,为以分... 作为祖国医学的重要组成部分,针刺与热灸等体表刺激在镇痛与调节内脏功能等方面发挥着不可替代的治疗效应。随着现代神经生理学、分子生物学及基因编辑技术等快速发展,研究者可通过不同生物标记技术探究既往无法区分的细胞亚型,为以分子标记物为切入点探究体表不同类型感受器介导针灸调节效应的作用机制提供了新的研究范式。然而,针对上述研究进展的系统归纳目前尚且缺如。鉴于此,本文综述了瞬时受体电位(transient receptor potential,TRP)离子通道家族、Mas相关G蛋白偶联受体(Mas related G protein-coupled receptor,MRGPR)家族等分子标记的C类多模态伤害感受器(C-polymodal nociceptor,CPN)在针灸镇痛及内脏调节中的作用效应及机制探讨,以期为针灸传入相关始动因素的分子特性及功能研究提供思路,亦为传统与现代医学的融合发展提供潜在探索方向。 展开更多
关键词 针刺 热灸 C类多模态伤害感受器 背根神经节 始动因素
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基于隧穿调制的三级痛觉分类
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作者 吴悦 杨成东 《电子元件与材料》 北大核心 2025年第4期434-440,共7页
尽管神经形态器件在模拟伤害感受器介导的突触行为方面已取得了一定进展,但现有研究仍难以实现清晰的阈值特征,无法真实展现其高阈值特性。此外,目前的研究未能精准定义不同的疼痛等级,而是仅依赖单一模式跳变来模拟疼痛的产生。然而,... 尽管神经形态器件在模拟伤害感受器介导的突触行为方面已取得了一定进展,但现有研究仍难以实现清晰的阈值特征,无法真实展现其高阈值特性。此外,目前的研究未能精准定义不同的疼痛等级,而是仅依赖单一模式跳变来模拟疼痛的产生。然而,疼痛等级的明确分类对于构建自适应警报系统至关重要。本工作针对痛觉感知器件—痛觉感受器模糊的阈值问题和痛觉级别的分类问题开展研究。通过在背靠背肖特基二极管突触器件上引入特定厚度(200 nm)的氮化硅电子隧穿层,利用该隧穿层的三次隧穿模式跳变来获得四种电子到达捕获界面的模式,从而实现四种突触运行模式的耦合,以此来模拟三级痛觉预警功能。通过实验验证,该多级痛觉感受器在低强度刺激下可模拟多种典型的常规突触感知功能,当进一步增强刺激时(包括提高刺激强度或连续施加刺激),该器件展现出三级自适应模式切换特性。此外,器件还能够根据外界紫外光刺激强度精确分类痛觉级别,表明器件在硬件层面上能够实现对外界伤害及其程度的精确识别和管理。 展开更多
关键词 神经形态器件 多级痛觉感受器 Si_(3)N_(4)/SiO_(2)隧穿层 隧穿模式 阈值管理 模式跳变
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辣椒素及其受体 被引量:32
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作者 骆昊 万有 韩济生 《生理科学进展》 CAS CSCD 北大核心 2003年第1期11-15,共5页
可以感受痛觉刺激的初级感觉神经元的周围末梢被称为伤害性感受器。这些小直径神经元的末梢可将化学、机械和热刺激信号转化为动作电位 ,并将这些信息上传到中枢 ,最后使机体产生痛觉或不舒服的感受。但到目前为止 ,人们对这些可探测到... 可以感受痛觉刺激的初级感觉神经元的周围末梢被称为伤害性感受器。这些小直径神经元的末梢可将化学、机械和热刺激信号转化为动作电位 ,并将这些信息上传到中枢 ,最后使机体产生痛觉或不舒服的感受。但到目前为止 ,人们对这些可探测到伤害性刺激的分子所知甚少。 1997年成功克隆的辣椒素受体亚型 1(vanilloidreceptorsubtype 1,VR1)是近年来科学家们研究的“热点分子” ,它是表达于伤害性感受器上的非选择性阳离子通道 ,已有诸多证据表明其可探测和整合诱发痛觉的化学和热刺激信号。基因敲除小鼠的研究分析也有力证明了该离子通道参与了疼痛及组织损伤后痛觉过敏的产生 ,而且是热诱发疼痛发生过程的关键分子。 展开更多
关键词 伤害性感受器 辣椒素 辣椒素受体 背根神经节 疼痛
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臭氧介入综合治疗顽固性疱疹后神经痛5年随访研究 被引量:28
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作者 王家双 魏星 +5 位作者 包佳巾 杜雯琼 汤达承 吴秋韵 张雪丰 黄穗翔 《中国疼痛医学杂志》 CAS CSCD 2016年第1期34-40,共7页
目的:本文报道使用以臭氧介入为主的规范化诊疗综合方案用于顽固性、激惹型疱疹后神经痛患者的5年随访结果。方法:统计资料完整的顽固性躯干部疱疹后神经痛30例住院患者,病史4个月~4年,患者最多住院达10次。入院后接受以臭氧介入... 目的:本文报道使用以臭氧介入为主的规范化诊疗综合方案用于顽固性、激惹型疱疹后神经痛患者的5年随访结果。方法:统计资料完整的顽固性躯干部疱疹后神经痛30例住院患者,病史4个月~4年,患者最多住院达10次。入院后接受以臭氧介入为主的规范化诊疗方案,即口服药物+病人自控硬膜外镇痛+臭氧介入治疗,采用自身对照方法考察治疗前、后抑郁量表、疼痛程度、红外线热图、患区遗留症状和睡眠质量等指标。随访评估五年。使用Poisson列联系数法进行统计资料处理。结果:年龄60~85岁(平均70.3±5.9岁)。患区剧烈疼痛住院72小时内即得到有效控制,治疗前平均视觉模拟评分(visual analoguescale,VAS)评分为6.7±1.8分,抑郁评分(hamilto ndepression score,HAMD)评分为22.6±4.2分,局部温度为36.4±2.6℃。治疗后平均VAS评分为3.1±0.8分,HAMD评分为13.5±3.1分,局部温度差为3.64-0.6℃.本组患者未出现与治疗方案相关的并发症。结论:CT监护下以臭氧介入为主的规范化治疗可快速控制剧烈疼痛,使原发和继发损伤区消失或明显缩小,局部温度趋于正常,在长达5年左右随访期间效果比较稳定,疼痛程度及VAS评分未出现明显波动,患者情绪好转,绝大部分患者生活质量明显改善。 展开更多
关键词 躯干部疱疹后神经痛 激惹型 臭氧介入治疗 红外热图 5年随访
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Regulation of Pain and Itch by TRP Channels 被引量:48
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作者 Carlene Moore Rupali Gupta +2 位作者 Sven-Eric Jordt Yong Chen Wolfgang B.Liedtke 《Neuroscience Bulletin》 SCIE CAS CSCD 2018年第1期120-142,共23页
Nociception is an important physiological process that detects harmful signals and results in pain perception. In this review, we discuss important experimental evidence involving some TRP ion channels as molecular se... Nociception is an important physiological process that detects harmful signals and results in pain perception. In this review, we discuss important experimental evidence involving some TRP ion channels as molecular sensors of chemical, thermal, and mechanical noxious stimuli to evoke the pain and itch sensations. Among them are the TRPA1 channel, members of the vanilloid subfamily (TRPV1, TRPV3, and TRPV4), and finally members of the melastatin group (TRPM2, TRPM3, and TRPMS). Given that pain and itch are pro-survival, evolutionarily-honed protective mechanisms, care has to be exercised when developing inhibitory/modulatory com- pounds targeting specific pain/itch-TRPs so that physio- logical protective mechanisms are not disabled to a degree that stimulus-mediated injury can occur. Such events have impeded the development of safe and effective TRPV1- modulating compounds and have diverted substantial resources. A beneficial outcome can be readily accom- plished via simple dosing strategies, and also by incorpo- rating medicinal chemistry design features during compound design and synthesis. Beyond clinical use, where compounds that target more than one channel might have a place and possibly have advantageous features, highly specific and high-potency compounds will be helpful in mechanistic discovery at the structure-function level. 展开更多
关键词 TRP channels PAIN ITCH nociceptors - Inflammation Lipids Temperature HYPERALGESIA Nerve damage Neuropathic pain MECHANOTRANSDUCTION ALLODYNIA
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The hypothalamic-spinal dopaminergic system:a target for pain modulation 被引量:13
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作者 Michelino Puopolo 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第6期925-930,共6页
Nociceptive signals conveyed to the dorsal horn of the spinal cord by primary nociceptors are subject to extensive modulation by local neurons and by supraspinal descending pathways to the spinal cord before being rel... Nociceptive signals conveyed to the dorsal horn of the spinal cord by primary nociceptors are subject to extensive modulation by local neurons and by supraspinal descending pathways to the spinal cord before being relayed to higher brain centers. Descending modulatory pathways to the spinal cord comprise,among others, noradrenergic, serotonergic, γ-aminobutyric acid(GABA)ergic, and dopaminergic fibers.The contributions of noradrenaline, serotonin, and GABA to pain modulation have been extensively investigated. In contrast, the contributions of dopamine to pain modulation remain poorly understood.The focus of this review is to summarize the current knowledge of the contributions of dopamine to pain modulation. Hypothalamic A11 dopaminergic neurons project to all levels of the spinal cord and provide the main source of spinal dopamine. Dopamine receptors are expressed in primary nociceptors as well as in spinal neurons located in different laminae in the dorsal horn of the spinal cord, suggesting that dopamine can modulate pain signals by acting at both presynaptic and postsynaptic targets. Here, I will review the literature on the effects of dopamine and dopamine receptor agonists/antagonists on the excitability of primary nociceptors, the effects of dopamine on the synaptic transmission between primary nociceptors and dorsal horn neurons, and the effects of dopamine on pain in rodents. Published data support both anti-nociceptive effects of dopamine mediated by D2-like receptors and pro-nociceptive effects mediated by D1-like receptors. 展开更多
关键词 A11 nucleus DESCENDING modulation dopamine DORSAL horn DORSAL root GANGLIA D2 RECEPTORS D1 RECEPTORS nociceptorS pain SPINAL cord
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Melittin, the Major Pain-Producing Substance of Bee Venom 被引量:12
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作者 Jun Chen Su-Min Guan +1 位作者 Wei Sun Han Fu 《Neuroscience Bulletin》 SCIE CAS CSCD 2016年第3期265-272,共8页
Melittin is a basic 26-amino-acid polypeptide that constitutes 40-60% of dry honeybee(Apis mellifera)venom.Although much is known about its strong surface activity on lipid membranes,less is known about its painprod... Melittin is a basic 26-amino-acid polypeptide that constitutes 40-60% of dry honeybee(Apis mellifera)venom.Although much is known about its strong surface activity on lipid membranes,less is known about its painproducing effects in the nervous system.In this review,we provide lines of accumulating evidence to support the hypothesis that melittin is the major pain-producing substance of bee venom.At the psychophysical and behavioral levels,subcutaneous injection of melittin causes tonic pain sensation and pain-related behaviors in both humans and animals.At the cellular level,melittin activates primary nociceptor cells through direct and indirect effects.On one hand,melittin can selectively open thermal nociceptor transient receptor potential vanilloid receptor channels via phospholipase A2-lipoxygenase/cyclooxygenase metabolites,leading to depolarization of primary nociceptor cells.On the other hand,algogens and inflammatory/proinflammatory mediators released from the tissue matrix by melittin's pore-forming effects can activate primary nociceptor cells through both ligand-gated receptor channels and the G-protein-coupled receptor-mediated opening of transient receptor potential canonical channels.Moreover,subcutaneous melittin up-regulates Nav1.8 and Nav1.9subunits,resulting in the enhancement of tetrodotoxinresistant Na~+currents and the generation of long-term action potential firing.These nociceptive responses in the periphery finally activate and sensitize the spinal dorsal horn pain-signaling neurons,resulting in spontaneous nociceptive paw flinches and pain hypersensitivity to thermal and mechanical stimuli.Taken together,it is concluded that melittin is the major pain-producing substance of bee venom,by which peripheral persistent pain and hyperalgesia(or allodynia),primary nociceptive neuronal sensitization,and CNS synaptic plasticity(or metaplasticity) can be readily induced and the molecular and cellular mechanisms underlying naturally-occurring venomous biotoxins can be experimentally unraveled. 展开更多
关键词 MELITTIN Algogen - nociceptor Spinaldorsal horn PAIN
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西方针刺疗法之激痛点与传统针灸腧穴的比较 被引量:93
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作者 彭增福 《中国针灸》 CAS CSCD 北大核心 2008年第5期349-352,共4页
西方针刺疗法的核心激痛点(trigger point)理论与传统针灸学的腧穴理论有太多的相似。经比较发现,超过92%的激痛点(235/255)与腧穴在解剖部位上相对应,而79.5%针灸穴位所主治的局部疼痛与其对应的肌筋膜激痛点相似。激痛点与腧穴均可以... 西方针刺疗法的核心激痛点(trigger point)理论与传统针灸学的腧穴理论有太多的相似。经比较发现,超过92%的激痛点(235/255)与腧穴在解剖部位上相对应,而79.5%针灸穴位所主治的局部疼痛与其对应的肌筋膜激痛点相似。激痛点与腧穴均可以引发类似的线性感传,其中二者完全一致或基本一致达76%,部分一致为14%;其次,二者均可主治内脏性症状,如腹泻、便秘、痛经等。因此,二者在解剖位置、临床主治、针刺引起线性感传等方面,都有着十分的相似性。 展开更多
关键词 疼痛感受器 取穴/方法 针刺穴位 中西医学比较研究
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谷氨酸钠对大鼠背部皮神经传入放电的影响 被引量:1
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作者 曹东元 郭媛 +3 位作者 张琪 田雨灵 王会生 赵晏 《神经科学通报》 CSCD 2005年第2期111-116,共6页
目的 探讨谷氨酸对大鼠背部皮神经自发传入放电的影响。方法 采用体内分离脊神经背侧皮支单纤维记录方法,在皮神经感受野注射谷氨酸受体的激动剂谷氨酸钠(0. 3mmol/L, 10μl),观察对皮肤感觉神经传入放电的影响及时程变化。结果 将... 目的 探讨谷氨酸对大鼠背部皮神经自发传入放电的影响。方法 采用体内分离脊神经背侧皮支单纤维记录方法,在皮神经感受野注射谷氨酸受体的激动剂谷氨酸钠(0. 3mmol/L, 10μl),观察对皮肤感觉神经传入放电的影响及时程变化。结果 将谷氨酸钠注射入Aδ和C类感受单位的感受野,注射过程中(7min)和注射后(10min)每分钟的平均传入放电数与注药前比较均显著增加(P<0. 05 )。但Aβ感受单位注射过程中和注射后平均传入放电数与给药前相比无显著性差异(P>0. 05)。同时还发现谷氨酸钠对Aδ和C类初级传入末梢的兴奋作用可见于所观察的整个时段。结论 谷氨酸可能参与外周痛敏化过程。 展开更多
关键词 谷氨酸钠 皮神经 传入放电 背部 大鼠 注射过程 mol/L 谷氨酸受体 显著性差异 记录方法 体内分离 时程变化 感觉神经 兴奋作用 感受野 注射后 单纤维 脊神经 激动剂 给药前 外周痛 C类 平均
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