[创伤个体的疼痛障碍——神经生理学与临床表现]

[Pain disorders in traumatized individuals - neurophysiology and clinical presentation].

作者信息

Egloff N, Hirschi A, von Känel R

机构信息

Universitätsklinik für Allgemeine Innere Medizin, Kompetenzbereich für Psychosomatische Medizin, Inselspital Bern.

出版信息

Praxis (Bern 1994). 2012 Jan 18;101(2):87-97. doi: 10.1024/1661-8157/a000816.

DOI:10.1024/1661-8157/a000816

PMID:22252590

Abstract

This overview portrays the salient physiological mechanisms being involved in the clinical manifestation of chronic pain in traumatized patients. A «hypermnesia-hyperarousal-model» is purported to support the neurophysiologic plausibility of the trauma-pain-relationship. We discuss seven characteristic clinical pain entities which alone or in combination can be found in patients with a previous psychological trauma.

摘要

本综述描绘了创伤患者慢性疼痛临床表现中涉及的主要生理机制。一种“记忆增强-高度觉醒模型”被认为支持了创伤与疼痛关系的神经生理学合理性。我们讨论了七种典型的临床疼痛情况，这些情况单独或合并出现于曾有心理创伤的患者中。