Effects of Pregabalin on Central Sensitization in Patients with Chronic Pancreatitis in a Randomized, Controlled Trial 英文参考文献.docVIP
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Effects of Pregabalin on Central Sensitization in Patients with Chronic Pancreatitis in a Randomized, Controlled Trial 英文参考文献
EffectsofPregabalinonCentralSensitizationinPatients
withChronicPancreatitisinaRandomized,Controlled
Trial
StefanA.W.Bouwense1,S?renS.Olesen2,Asbj?rnM.Drewes2,3,Jan-WernerPoley4,HarryvanGoor1,
OliverH.G.Wilder-Smith5*
1PainandNociceptionNeuroscienceResearchGroup,DepartmentofSurgery,RadboudUniversityNijmegenMedicalCenter,Nijmegen,TheNetherlands,2Mech-Sense,
Department of Gastroenterology and Hepatology, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark, 3Center for Sensory-Motor Interaction (SMI),
Department of Health Science and Technology, Aalborg University, Aalborg, Denmark, 4Department of Gastroenterology and Hepatology, Erasmus MC, University
MedicalCenter,Rotterdam,TheNetherlands,5PainandNociceptionNeuroscienceResearchGroup,DepartmentofAnaesthesiology,PainandPalliativeCare,Radboud
UniversityNijmegenMedicalCenter,Nijmegen,TheNetherlands
Abstract
Background:Intenseabdominalpainisthedominantfeatureofchronicpancreatitis.Duringthediseasechangesincentral
painprocessing,e.g.centralsensitizationmanifestasspreadinghyperalgesia,canresultfromongoingnociceptiveinput.
Theaimofthepresentstudyistoevaluatetheeffectofpregabalinonpainprocessinginchronicpancreatitisasassessedby
quantitativesensorytesting(QST).
Methods:Thisrandomized,double-blind,placebo-controlledtrialevaluatedeffectsofpregabalinonpainprocessing.QST
was used to quantify pain processing by measuring thresholds to painful electrical andpressure stimulation in six body
dermatomes. Descending endogenous pain modulation was quantified using the conditioned pain modulation (CPM)
paradigmtoelicitaDNIC(diffusenoxiousinhibitorycontrols)response.Themaineffectparameterwasthechangeinthe
sumofallbodypainthresholdvaluesafterthreeweeksofstudytreatmentversusbaselinevaluesbetweenbothtreatment
groups.
Results: 64 patients were analyzed. No differences in change in sum of pain thresholds were present for pregabalin vs.
placeboafterthreeweeksoftreatment.Forindividualdermatomes,changevs.baselinepainthresholdswassignifi
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