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咖啡因:它在疼痛医学中起什么作用?

Caffeine: What Is Its Role in Pain Medicine?

作者信息

Boppana Sri Harsha, Peterson Michael, Du Austin L, Kutikuppala L V Simhachalam, Gabriel Rodney A

机构信息

Anaesthesiology, University of California, San Diego, La Jolla, USA.

Biology, University of California, San Diego, La Jolla, USA.

出版信息

Cureus. 2022 Jun 2;14(6):e25603. doi: 10.7759/cureus.25603. eCollection 2022 Jun.

Abstract

Caffeine is the world's most widely used psychoactive legal substance. The involvement of caffeine in pain management has gotten minimal attention in the past, but it is getting more attention now. This article provides a brief assessment of the literature to clarify the role of caffeine as a pain reliever and stimulate the interest of researchers. Caffeine affects adenosine receptors, which are involved in nociception, and plays a significant role in pain regulation. Caffeine's usage as an adjuvant therapy has been extensively documented in the literature, and it is now accessible in certain over-the-counter drugs. The mixture of coffee and morphine for pain reduction in individuals with terminal cancer has shown mixed outcomes in studies. Caffeine can be utilized for hypnic headaches and post-dural puncture headaches since it is crucial in pain regulation. Caffeine has the potential to help in pain management. Caffeine's usage for migraines and end-stage cancer disease is not well acknowledged. Further research is essential to focus on caffeine's potential role in various forms of pain, including dosage escalation and outcome assessment standardization.

摘要

咖啡因是世界上使用最广泛的合法精神活性物质。过去,咖啡因在疼痛管理中的作用很少受到关注,但现在正受到越来越多的关注。本文对相关文献进行简要评估,以阐明咖啡因作为止痛剂的作用,并激发研究人员的兴趣。咖啡因会影响参与伤害感受的腺苷受体,在疼痛调节中发挥重要作用。咖啡因作为辅助治疗的用法在文献中有广泛记载,现在某些非处方药中也有。在终末期癌症患者中,咖啡与吗啡混合用于减轻疼痛的研究结果不一。由于咖啡因在疼痛调节中至关重要,它可用于治疗睡眠性头痛和硬膜穿刺后头痛。咖啡因有帮助疼痛管理的潜力。咖啡因用于偏头痛和终末期癌症疾病的情况尚未得到充分认可。进一步的研究必须聚焦于咖啡因在各种疼痛形式中的潜在作用,包括剂量递增和结果评估标准化。

相似文献

1
Caffeine: What Is Its Role in Pain Medicine?咖啡因:它在疼痛医学中起什么作用?
Cureus. 2022 Jun 2;14(6):e25603. doi: 10.7759/cureus.25603. eCollection 2022 Jun.
2
7
Timing of blood pressure measurement related to caffeine consumption.与咖啡因摄入相关的血压测量时间
Ann Pharmacother. 2008 Jan;42(1):105-10. doi: 10.1345/aph.1K337. Epub 2007 Dec 19.

本文引用的文献

5
Adenosine receptor targets for pain.疼痛的腺苷受体靶点
Neuroscience. 2016 Dec 3;338:1-18. doi: 10.1016/j.neuroscience.2015.10.031. Epub 2015 Oct 21.
7
Caffeine as an analgesic adjuvant for acute pain in adults.咖啡因作为成人急性疼痛的镇痛辅助药物。
Cochrane Database Syst Rev. 2014 Dec 11;2014(12):CD009281. doi: 10.1002/14651858.CD009281.pub3.
8
Hypnic headache.睡眠性头痛
Headache. 2014 Oct;54(9):1556-9. doi: 10.1111/head.12447. Epub 2014 Sep 18.

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