中文译文:
主题:经皮神经电刺激(TENS)对原发性痛经的影响。
摘要:背景和目的:原发性痛经(PD)定义为在没有任何潜在疾病的情况下发生的子宫起源痛经。发病机理尚不清楚,子宫过度活跃、前列腺素升高和白细胞三烯含量,以及激素水平的波动都与此有关。本研究的目的是评估TENS对原发性痛经(PD)的激素皮质醇和催乳素的影响。
结论:经皮神经电刺激TENS可能会影响患者皮质醇和催乳素水平,从而将患者的疼痛减轻,通过阿片类调节性镇痛系统释放B-内啡肽和其它内源性阿片类药物来缓解疼痛。这是因为B-内啡肽、皮质醇和神经元之间有密切的关系,它们会分泌多巴胺进入下丘脑-垂体-门静脉系统。
原文:
EffectofTranscutaneousElectricNerveStimulation(TENS)onHormonesProfileinSubjectswithPrimaryDysmenorrhoea-APreliminaryStudy.
ABSTRACT:BackgroundObjective:Primarydysmenorrhoea(PD)isdefinedastheoccurrenceofpainfulmenstrualcrampsofuterineoriginwhichoccursintheabsenceofanyunderlyingdisease.Thepathogenesisisunclear,bututerinehyperactivity,elevatedprostaglandinandleukotrieneslevels,andhormonallevelfluctuationshaveallbeenimplicated.TheobjectiveofthisstudywastoevaluatetheeffectofTENSonthehormonescortisolandprolactininindividualswithPD.
Conclusion:TheprobablemechanismbywhichTENSeffectedalterationsincortisolandprolactinlevelsandpainreductioninsubjectswithPDmightbethroughtheopioid-modulatinganalgesiasystem,whichreleasesB-endorphinsandotherendogenousopiatesinresponsetopain.ThisisbecausetheseisacloserelationshipbetweenB-endorphin,cortisolandneurons,whichsecretedopamineintothehypothalamic-pituitary-portalsystem.
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