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痛觉超敏疼痛矩阵"失衡"及其针刺镇痛的"再平衡"机制研究

痛觉超敏疼痛矩阵"失衡"及其针刺镇痛的"再平衡"机制研究
  • 导航:首页 > 科学基金
  • 批准号:81473769
  • 批准年度: 2014年
  • 学科分类:中医针灸(H2718) |
  • 项目负责人:吴文
  • 负责人职称:教授
  • 依托单位:南方医科大学
  • 资助金额:66万元
  • 项目类别:面上项目
  • 研究期限:2015年01月01日 至 2018年12月31日
  • 中文关键词: 痛觉;超敏疼痛矩阵;失衡;针刺镇痛;平衡
  • 英文关键词:allodynia;Acupuncture analgesia;pain matrix;resting-state fMRI(rfMRI);event related potential(ERP)

项目摘要

中文摘要

痛觉超敏是神经性疼痛的主要特征,针刺是治疗痛觉超敏的重要手段。然而,痛觉超敏及其针刺镇痛的脑机制尚不完全清楚。前期伤害性疼痛fMRI研究表明疼痛刺激同时激活了感觉、情绪及认知等脑区组成的神经网络- - -疼痛矩阵,伤害刺激与疼痛矩阵维持平衡,针刺镇痛引起疼痛矩阵发生变化。但是,因伤害性疼痛与神经性疼痛具有不同病理基础及临床表现,后者对非伤害刺激有痛觉超敏特征,两者应有不同的发生机制及脑加工模式。由此,我们提出痛觉超敏是由于疼痛矩阵"失衡"所致,针刺通过神经调节引起疼痛矩阵"再平衡"实现镇痛。本项目拟以触压诱发神经性疼痛痛觉超敏,以rfMRI、ERP及DTI为研究手段,动态观察痛觉超敏及针刺对疼痛矩阵脑加工部位、脑区激活顺序及连接性的影响特征,以揭示痛觉超敏疼痛矩阵失衡及其针刺镇痛的再平衡机制。为研究痛觉超敏及其针刺镇痛机制提供新的思路和切入点,为针灸在神经性疼痛镇痛领域的应用提供新的理论依据。

英文摘要

Allodynia is an essential characteristic of neuropathic pain and acupuncture treatment is an important means of allodynia. However, brain mechanisms of allodynia and acupuncture analgesia remain unclear. Previous brain imaging studies of nociceptive pain indicate that pain activates the pain matrix which is composed of sensory, cognitive and affective brain regions. The nociceptive stimulation and pain matrix should maintain in balance, and stimulation of acupuncture in acupoints may result in change of the activated brain regions. However, due to differing pathological basis and clinical manifestations between nociceptive pain and neuropathic pain, the latter being allodynia for non-nociceptive stimuli, they may have different mechanisms and brain processing modes. Thus, we put forward the brain mechanism of pain hypersensitivity is pain matrix "loss of balance," as well as the effectiveness of acupuncture to rebalance the pain matrix to achieve analgesia through neuromodulation. The purpose of this study is to obtain the characteristics of allodynia and acupuncture intervention on the pain processing regions, activated volume, the order, and their functional relations and anatomical connections in the pain matrix network. In addition, this study will reveal the mechanisms of unbalance in the pain matrix and the mechanisms of rebalance through acupuncture analgesia using ERP, fMRI and DTI for patients with allodynia of neuropathic pain induced by touch. This study seeks to provide a new way of thinking and advancement in exploring the brain mechanisms of allodynia and acupuncture analgesia. Its purpose is to provide a new theoretical basis in the application of analgesia to treat neuropathic pain with acupuncture.

评估说明

    国家自然科学基金项目“痛觉超敏疼痛矩阵"失衡"及其针刺镇痛的"再平衡"机制研究”发布于爱科学iikx,并永久归类于相关科学基金导航中,仅供广大科研工作者查询、学习、选题参考。国科金是根据国家发展科学技术的方针、政策和规划,以及科学技术发展方向,面向全国资助基础研究和应用研究,发挥着促进我国基础研究源头创新的作用。国科金的真正价值在于它能否为科学进步和社会发展带来积极的影响。

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