合并疼痛和失眠的睡眠脑电图:对疼痛障碍治疗的启示。

IF 3.4 Q2 NEUROSCIENCES
Pain Reports Pub Date : 2023-10-24 eCollection Date: 2023-12-01 DOI:10.1097/PR9.0000000000001101
Matthew J Reid, Mark Quigg, Patrick H Finan
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引用次数: 0

摘要

引言:慢性疼痛患者合并失眠的患病率很高,这与功能损害有关。睡眠脑电图的最新进展可能会阐明睡眠与慢性疼痛之间的联系机制。在这篇临床更新中,我们概述了疼痛睡眠脑电图评估的最新进展,并提供了研究建议。结果:有希望的初步工作表明,睡眠脑电图谱带,特别是β、γ、α和δ功率,可能会产生疼痛的候选神经生理学特征,而宏观结构参数(如总睡眠时间、觉醒和睡眠连续性)可能有助于脑电衍生的睡眠表型,并可能在未来的疼痛治疗中实现分层。结论:通过睡眠脑电图获得的测量结果的整合代表了未来可以采用的可行且可扩展的方法。我们提供研究建议,以推动该领域深入了解其在临床实践中的效用和潜在的未来应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Sleep-EEG in comorbid pain and insomnia: implications for the treatment of pain disorders.

Sleep-EEG in comorbid pain and insomnia: implications for the treatment of pain disorders.

Introduction: Patients with chronic pain experience a high prevalence of comorbid insomnia, which is associated with functional impairment. Recent advances in sleep electroencephalography (sleep-EEG) may clarify the mechanisms that link sleep and chronic pain. In this clinical update, we outline current advancements in sleep-EEG assessments for pain and provide research recommendations.

Results: Promising preliminary work suggests that sleep-EEG spectral bands, particularly beta, gamma, alpha, and delta power, may create candidate neurophysiological signatures of pain, and macro-architectural parameters (e.g., total sleep time, arousals, and sleep continuity) may facilitate EEG-derived sleep phenotyping and may enable future stratification in the treatment of pain.

Conclusion: Integration of measures obtained through sleep-EEG represent feasible and scalable approaches that could be adopted in the future. We provide research recommendations to progress the field towards a deeper understanding of their utility and potential future applications in clinical practice.

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来源期刊
Pain Reports
Pain Reports Medicine-Anesthesiology and Pain Medicine
CiteScore
7.50
自引率
2.10%
发文量
93
审稿时长
8 weeks
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