Brandow Amanda M, Farley Rebecca A, Panepinto Julie A
Section of Pediatric Hematology/Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Medical College of Wisconsin, Milwaukee, Wisconsin.
Pediatr Blood Cancer. 2015 Sep;62(9):1501-11. doi: 10.1002/pbc.25574. Epub 2015 May 13.
Novel insights into the neurobiology of sickle cell disease (SCD) pain have recently been discovered. We systematically reviewed the literature focusing on original research that examined the biology of pain in SCD and/or addressed assessment or treatment of neuropathic pain in SCD. This review of 15 articles that met inclusion criteria provides epidemiological, basic, and clinical data that support central and/or peripheral nervous system abnormalities likely contribute to sickle cell pain. Continued basic and clinical investigation into pain neurobiology is imperative to translate these discoveries into novel ways to assess and treat neuropathic pain and decrease patient suffering.
最近,人们对镰状细胞病(SCD)疼痛的神经生物学有了新的认识。我们系统地回顾了文献,重点关注那些研究SCD疼痛生物学和/或探讨SCD神经性疼痛评估或治疗的原创性研究。对15篇符合纳入标准的文章进行的这项综述提供了流行病学、基础和临床数据,这些数据支持中枢和/或外周神经系统异常可能导致镰状细胞疼痛。对疼痛神经生物学持续进行基础和临床研究,对于将这些发现转化为评估和治疗神经性疼痛的新方法以及减轻患者痛苦至关重要。