【正文】
機制,The pathophysiological mechanisms that underlie NP are not fully understood. Several hypotheses have been suggested including : (1) sensitization of nociceptors (2) abnormal ectopic excitability of affected neurons (3) disinhibition of nociception control at the spinal level network (4) sympathetically maintained pain (5) CNS reorganization processes,第七頁,共三十三頁。)過敏 (Hyperalgesia) -對疼痛剌激反應(yīng)增高或持久劇痛,第六頁,共三十三頁。 fū)上無客觀原因異常感覺 感覺遲鈍(dysesthisias),(與刺激有關(guān),在檢查期間引出) 異常性疼痛(Allodynia) -對正常無痛刺激感到疼痛 痛覺(t242。ngt242。) “周圍或中樞神經(jīng)系統(tǒng)原發(fā)性或繼發(fā)性損害或功能障礙或短暫紊亂引起的疼痛”,Neuropathic pain (NP) is caused by structural lesion leading to functional abnormalities in the central and peripheral nervous system. It is a frequent disorder, and its prevalence is estimate to be between 6.9% and 10% in the general population [3].,第五頁,共三十三頁。ng)疼痛(NP),國際疼痛研究會(IASP,1994)定義(d236。jī)所導(dǎo)致的軀體痛和內(nèi)臟痛,第四頁,共三十三頁。ng)。ng)和神經(jīng)病理性疼痛(t233。ng)的發(fā)生機制和臨床癥狀,主要有兩種:傷害感受性疼痛(t233。ng)的病理生理學(xué)分類根據(jù)疼痛(t233。ng),With regard to the