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长新冠中的广泛性疼痛综合征:褪黑素作为辅助治疗手段

Widespread pain syndrome in long COVID-19: melatonin as an adjuvant treatment.

作者信息

Souissi Amine, Prieto-González Pablo, Ben Saad Helmi

机构信息

Faculté de Médecine de Sousse, Hôpital Farhat HACHED, Laboratoire de Recherche (Insuffisance Cardiaque, LR12SP09), Université de Sousse, Sousse, Tunisie.

Sport Sciences and Diagnostics Research Group, GSD-HPE Department, Prince Sultan University, Riyadh, Saudi Arabia.

出版信息

Front Pain Res (Lausanne). 2025 Jun 4;6:1609095. doi: 10.3389/fpain.2025.1609095. eCollection 2025.

DOI:10.3389/fpain.2025.1609095
PMID:40534826
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12175155/
Abstract

Long coronavirus disease 2019 (LC19) represents a complex global health challenge. Survivors frequently report persistent problems like widespread pain syndrome (WPS), cognitive dysfunction, cardiovascular complications, and sleep disturbances. These health problems, which are worsened by oxidative stress and inflammaging, open the prospect of treatment strategies targeting these mechanisms. Melatonin is a potential option for treating LC19 problems because of its anti-inflammatory, antioxidant, and pain-modulating properties. Melatonin targets shared pathological pathways, offering a promising approach to reducing inflammation, oxidative stress, and neuroendocrine dysfunction. The present mini-review explores the therapeutic potential of melatonin in the treatment of LC19, focusing on its effects on WPS and inflammation.

摘要

长期新冠病毒病(LC19)是一项复杂的全球健康挑战。康复者经常报告存在持续问题,如广泛性疼痛综合征(WPS)、认知功能障碍、心血管并发症和睡眠障碍。这些健康问题因氧化应激和炎症衰老而恶化,为针对这些机制的治疗策略开辟了前景。褪黑素因其抗炎、抗氧化和疼痛调节特性,是治疗LC19问题的一个潜在选择。褪黑素针对共同的病理途径,为减轻炎症、氧化应激和神经内分泌功能障碍提供了一种有前景的方法。本综述探讨了褪黑素在治疗LC19方面的治疗潜力,重点关注其对WPS和炎症的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daab/12175155/edec39758d8f/fpain-06-1609095-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daab/12175155/958782b4da33/fpain-06-1609095-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daab/12175155/edec39758d8f/fpain-06-1609095-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daab/12175155/958782b4da33/fpain-06-1609095-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daab/12175155/edec39758d8f/fpain-06-1609095-g002.jpg

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本文引用的文献

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Br J Clin Pharmacol. 2025 Feb;91(2):493-494. doi: 10.1111/bcp.16375. Epub 2024 Dec 16.
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Inflammaging and Immunosenescence in the Post-COVID Era: Small Molecules, Big Challenges.新冠疫情后时代的炎症衰老与免疫衰老:小分子,大挑战。
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Key Guidelines for Responding to Reviewers.回复审稿人的关键指南。
F1000Res. 2024 Sep 20;13:921. doi: 10.12688/f1000research.154614.1. eCollection 2024.
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Integrative insights into PNI: Low-grade chronic inflammation, skeletal muscle wasting, and brain impairments.对心理神经免疫学的综合见解:低度慢性炎症、骨骼肌萎缩和脑功能障碍。
Brain Behav Immun Health. 2024 Aug 3;40:100838. doi: 10.1016/j.bbih.2024.100838. eCollection 2024 Oct.
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Melatonin: Evolving Physiological Understanding and Potential Therapeutic Role in Pain Medicine Including Intervertebral Disc Degeneration.褪黑素:在疼痛医学中不断发展的生理认识和潜在治疗作用,包括椎间盘退变。
Pain Physician. 2024 Jul;27(5):273-282.
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Melatonin as a Coadjuvant in the Treatment of Patients with Fibromyalgia.褪黑素作为纤维肌痛患者治疗的辅助药物
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Heat of the night: sleep disturbance activates inflammatory mechanisms and induces pain in rheumatoid arthritis.炎夏之夜:睡眠障碍激活炎症机制并引发类风湿性关节炎疼痛。
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