Schmidt Hannah, Blechschmidt Vivian
Abteilung für Neurophysiologie, Mannheimer Zentrum für Translationale Neurowissenschaft, Universität Heidelberg, Ludolf-Krehl-Str. 13-17, 68167, Mannheim, Deutschland.
Schmerz. 2023 Aug;37(4):242-249. doi: 10.1007/s00482-023-00734-5. Epub 2023 Jul 11.
Traditionally, two mechanistic pain categories were distinguished: nociceptive and neuropathic pain. After the definitions of these two mechanistic descriptors were refined more precisely in the International Association for the Study of Pain (IASP) taxonomy in 2011, a large group of patients remained whose pain could not be assigned to either of the two categories. Nociplastic pain was therefore proposed as a third mechanistic descriptor in 2016. This review article presents the current state of the integration of nociplastic pain into research and clinical practice. In particular, the possibilities and difficulties of applying this concept are addressed from a human and animal experimental research perspective.
传统上,疼痛可分为两种机制类型:伤害感受性疼痛和神经病理性疼痛。2011年,国际疼痛研究协会(IASP)分类法对这两种机制性描述词的定义进行了更精确的细化,但仍有一大类患者的疼痛无法归入这两种类型中的任何一种。因此,2016年提出了“伤害感受异常性疼痛”作为第三种机制性描述词。这篇综述文章介绍了伤害感受异常性疼痛在研究和临床实践中的整合现状。特别是,从人体和动物实验研究的角度探讨了应用这一概念的可能性和困难。