国际麻醉学与复苏杂志   2016, Issue (6): 1-1
    
痛情绪的神经回路及其机制研究进展
卢波, 孙建良, 肖纯, 陈骏萍1()
1.宁波市第二医院
A review of the current studies on neural circuits and mechanisms underlying the affective component of pain
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摘要:

背景 疼痛是一种复杂的主观感觉和情绪体验,包括感觉分辨组分和情绪动机组分。目前,对痛感觉分辨的机制已有了较为深入的认识,但是痛情绪动机组分的具体机制仍不清楚。 目的 探讨痛情绪组分的中枢神经调控及其机制。 内容 分别从痛情绪组分调控相关的前扣带回皮质、杏仁核、终纹床核等几方面阐述了痛情绪的神经回路及其机制研究进展。 趋向 慢性病理性疼痛常常伴有心理和情绪功能障碍,研究痛情绪的神经回路及其分子机制对于慢性疼痛的治疗具有重要临床意义。

关键词: 痛情绪; 神经回路; 前扣带回皮质; 杏仁核; 终纹床核
Abstract:

Background Pain is a complex experience, which consists of not only a sensory discriminative dimension but also an affective/motivational dimension. Although the neural systems responsible for the sensory component of pain have been studied extensively, the mechanism underlying pain affect is still unclear. Objective The aim of this article is to explore the neural circuits and mechanisms of the negative affective component of pain. Content This article reviews research advances in the neuronal mechanisms underlying pain-induced aversion. It focuses on the anterior cingulate cortex,amygdala,bed nucleus of the stria terminalis and other related brain regions involved in the processing of affective component of pain. Trend Persistent pain is frequently associated with psychological and emotional dysfunction, studies of the neural circuits and the molecular mechanisms involved in the affective component of pain may have considerable clinical importance in the treatment of chronic pain.

Key words: Affective component of pain; Neural circuits; Anterior cingulate cortex; Amygdala; Bed nucleus of the stria terminalis