国际妇产科学杂志2024,Vol.51Issue(6) :703-706.DOI:10.12280/gjfckx.20240660

从雌激素波动视角探讨经前烦躁障碍症抑郁-疼痛发生基础研究进展

Exploring the Basis of Depression and Pain in Premenstrual Dysphoria Disorder from the Perspective of Estrogen Fluctuations

高明周 高冬梅 马凤君 张轲鑫 张浩
国际妇产科学杂志2024,Vol.51Issue(6) :703-706.DOI:10.12280/gjfckx.20240660

从雌激素波动视角探讨经前烦躁障碍症抑郁-疼痛发生基础研究进展

Exploring the Basis of Depression and Pain in Premenstrual Dysphoria Disorder from the Perspective of Estrogen Fluctuations

高明周 1高冬梅 2马凤君 3张轲鑫 4张浩5
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作者信息

  • 1. 250355 济南,山东中医药大学中医药创新研究院;中医药经典理论教育部重点实验室,国家中医药管理局高水平中医药重点学科中医基础理论学科
  • 2. 250355 济南,山东中医药大学中医学院;中医药经典理论教育部重点实验室,国家中医药管理局高水平中医药重点学科中医基础理论学科
  • 3. 250355 济南,山东中医药大学科研处
  • 4. 250355 济南,山东中医药大学中医药创新研究院
  • 5. 250355 济南,山东中医药大学实验中心;中医药经典理论教育部重点实验室,国家中医药管理局高水平中医药重点学科中医基础理论学科
  • 折叠

摘要

经前烦躁障碍症(premenstrual dysphoria disorder,PMDD)是危害育龄女性健康的常见疾病,其发病率高且严重者会有自杀倾向,卵巢类固醇激素波动敏感性可能是其核心发病机制.临床上,PMDD患者深受精神和躯体双重症状困扰,但既往研究往往偏重其抑郁障碍等情绪变化,忽视乳房胀痛、偏头痛等躯体伴随症状.而偏头痛等本身受女性雌激素水平波动影响,并呈现不同的个体敏感性,临床上也可见抗抑郁药物在疼痛治疗中的应用.已有研究表明抑郁-疼痛可能存在共性发病基础,雌激素波动调控二者病理改变.从雌激素波动视角综述PMDD抑郁-疼痛发生基础,以期为探讨其核心发病机制提供参考,同时促进抗抑郁~疼痛共病药物研发.

Abstract

Premenstrual dysphoria disorder(PMDD)is a common disease that endangers the health of women of childbearing age.with a high prevalence of suicidal tendencies in severe cases,and the sensitivity of ovarian steroid hormone fluctuations may be its core pathogenesis.In clinical practice,PMDD patients are plagued by both mental and physical symptoms,but previous studies have often focused on emotional changes such as depressive disorders,neglecting physical accompanying symptoms such as breast tenderness and migraine.Migraine itself is affected by fluctuations in female estrogen levels and exhibits different individual sensitivities,and the use of antidepressants in pain treatment can also be seen clinically.Previous studies have shown that depression pain may have a common pathological basis,and estrogen fluctuations regulate the pathological changes of both.This paper reviews the basis of depression-pain occurrence in PMDD from the perspective of estrogen fluctuations,in order to provide reference for exploring the core pathogenesis and promote the development of antidepressant pain comorbidity drugs.

关键词

经前烦躁障碍症/抑郁/疼痛/雌激素类/降钙素基因相关肽

Key words

Premenstrual dysphoria disorder/Depression/Pain/Estrogens/Calcitonin gene related peptide

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出版年

2024
国际妇产科学杂志
天津市医学科学技术信息研究所

国际妇产科学杂志

CSTPCD
影响因子:1.155
ISSN:1674-1870
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