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神经性疼痛的临床及治疗意义综述

A Review of the Clinical and Therapeutic Implications of Neuropathic Pain.

作者信息

Balzani Eleonora, Fanelli Andrea, Malafoglia Valentina, Tenti Michael, Ilari Sara, Corraro Annette, Muscoli Carolina, Raffaeli William

机构信息

Department of Medicine and Surgery, University of Turin, 10124 Torino, Italy.

Anesthesia, Intensive Care and Pain Therapy Unit, Department of Emergency and Urgency, Istituto ad Alta Specializzazione Policlinico di Monza, Via Amati 111, 20900 Monza, Italy.

出版信息

Biomedicines. 2021 Sep 16;9(9):1239. doi: 10.3390/biomedicines9091239.

Abstract

Understanding neuropathic pain presents several challenges, given the various mechanisms underlying its pathophysiological classification and the lack of suitable tools to assess its diagnosis. Furthermore, the response of this pathology to available drugs is still often unpredictable, leaving the treatment of neuropathic pain still questionable. In addition, the rise of personalized treatments further extends the ramified classification of neuropathic pain. While a few authors have focused on neuropathic pain clustering, by analyzing, for example, the presence of specific TRP channels, others have evaluated the presence of alterations in microRNAs to find tailored therapies. Thus, this review aims to synthesize the available evidence on the topic from a clinical perspective and provide a list of current demonstrations on the treatment of this disease.

摘要

鉴于神经性疼痛病理生理分类背后存在多种机制,且缺乏合适的诊断评估工具,了解神经性疼痛面临诸多挑战。此外,这种病症对现有药物的反应往往仍不可预测,使得神经性疼痛的治疗仍存在疑问。此外,个性化治疗的兴起进一步扩展了神经性疼痛的细化分类。虽然一些作者通过分析特定瞬时受体电位(TRP)通道的存在等方式专注于神经性疼痛聚类,但其他作者则评估了微小RNA的改变情况以寻找定制疗法。因此,本综述旨在从临床角度综合该主题的现有证据,并提供有关这种疾病治疗的当前证据列表。

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