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内源性阿片类物质会提高人类在应激状态后的疼痛耐受性。

Endogenous opiates increase pain tolerance after stress in humans.

作者信息

Jungkunz G, Engel R R, King U G, Kuss H J

出版信息

Psychiatry Res. 1983 Jan;8(1):13-8. doi: 10.1016/0165-1781(83)90133-6.

DOI:10.1016/0165-1781(83)90133-6
PMID:6300950
Abstract

This study investigates the role of endogenous opioids in the regulation of pain in humans. Two groups of healthy volunteers were subjected to different stress situations (cold pressor and arithmetic). In a double-blind design the changes in pain tolerance after stress were measured after an injection of either 0.8 mg naloxone or placebo. The cold pressor test raised the pain threshold in the placebo-treated group, but not in the naloxone-treated group. Mental arithmetic had no effect on pain perception. One can conclude therefore that physical stress may change pain perception depending upon the secretion of endogenous opioids.

摘要

本研究调查内源性阿片类物质在人类疼痛调节中的作用。两组健康志愿者分别经历不同的应激情况(冷加压和算术)。在双盲设计中,注射0.8毫克纳洛酮或安慰剂后,测量应激后疼痛耐受性的变化。冷加压试验提高了安慰剂治疗组的疼痛阈值,但纳洛酮治疗组未提高。心算对疼痛感知没有影响。因此可以得出结论,身体应激可能根据内源性阿片类物质的分泌改变疼痛感知。

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1
Endogenous opiates increase pain tolerance after stress in humans.内源性阿片类物质会提高人类在应激状态后的疼痛耐受性。
Psychiatry Res. 1983 Jan;8(1):13-8. doi: 10.1016/0165-1781(83)90133-6.
2
Endorphins: "opiates for the masses".内啡肽:“大众的鸦片”。
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[Endogenous opiates (endorphins) and pain].[内源性阿片类物质(内啡肽)与疼痛]
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Experience with alcohol and the endogenous opioid system in ethanol analgesia.乙醇镇痛中酒精与内源性阿片系统的相关经验。
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The effects of naloxone on opiate and placebo analgesia in healthy volunteers.纳洛酮对健康志愿者阿片类药物和安慰剂镇痛作用的影响。
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[Pain modulation in labor by endogenous opiates].[内源性阿片类物质对分娩疼痛的调节作用]
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A Theoretical Endogenous Opioid Neurobiological Framework for Co-occurring Pain, Trauma, and Non-suicidal Self-injury.一个关于疼痛、创伤和非自杀性自伤共病的内源性阿片类神经生物学理论框架。
Curr Pain Headache Rep. 2022 Jun;26(6):405-414. doi: 10.1007/s11916-022-01043-9. Epub 2022 Apr 5.
2
Stress-induced analgesia: an evaluation of effects on temporal summation of pain and the role of endogenous opioid mechanisms.应激诱导的镇痛:对疼痛时间总和的影响及内源性阿片机制作用的评估。
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Stress and pain: modality-specific opioid mediation of stress-induced analgesia.
应激和疼痛:特定模式的阿片类药物对应激诱导镇痛的调节作用。
J Neural Transm (Vienna). 2021 Sep;128(9):1397-1407. doi: 10.1007/s00702-021-02401-4. Epub 2021 Aug 17.
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Pharmacological fMRI provides evidence for opioidergic modulation of discrimination of facial pain expressions.药物 fMRI 为阿片类药物调制面部疼痛表情识别提供了证据。
Psychophysiology. 2021 Feb;58(2):e13717. doi: 10.1111/psyp.13717. Epub 2020 Nov 3.
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Endogenous opioid antagonism in physiological experimental pain models: a systematic review.生理实验性疼痛模型中的内源性阿片拮抗作用:一项系统评价。
PLoS One. 2015 Jun 1;10(6):e0125887. doi: 10.1371/journal.pone.0125887. eCollection 2015.
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Endogenous analgesia, dependence, and latent pain sensitization.内源性镇痛、依赖性和潜在的疼痛敏化。
Curr Top Behav Neurosci. 2014;20:283-325. doi: 10.1007/7854_2014_351.
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Cerebral and cerebrospinal processes underlying counterirritation analgesia.对抗刺激镇痛的脑和脑脊液过程。
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Peak B endorphin concentration in cerebrospinal fluid: reduced in chronic pain patients and increased during the placebo response.脑脊液中内啡肽浓度峰值:慢性疼痛患者降低,安慰剂反应期间升高。
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Changes in beta-endorphin levels in response to aerobic and anaerobic exercise.有氧运动和无氧运动后β-内啡肽水平的变化。
Sports Med. 1992 Jan;13(1):25-36. doi: 10.2165/00007256-199213010-00003.