自主神经功能监测在躯体症状障碍病人临床评估中的研究进展  

Research progress on autonomic nervous function monitoring in the clinical assessment of patients with somatic symptom disorders

作　　者：时小晗 杜思敬 杨波 吕琳 徐金 王庆 徐亚楠 祁婧 吕岩 顾楠 SHI Xiao-han;DU Si-jing;YANG Bo;LU Lin;XU Jin;WANG Qing;XU Ya-nan;QI Jing;LU Yan;GU Nan(Pain Medicine Center,Xijing Hospital,Air Force Medical University,Xi'an 710032,China;Department of Anesthesiology and Perioperative Medicine,Xijing Hospital,Air Force Medical University,Xi'an 710032,China;Cadet Corps Four Brigade,Basic Medical College,Air Force Medical University,Xi'an 710032,China;Medical Center for Neck and Low Back Pain,Xijing Hospital,Air Force Medical University,Xi'an 710032,China)

机构地区：[1]空军军医大学西京医院疼痛医学中心,西安710032 [2]空军军医大学西京医院麻醉与围术期医学科,西安710032 [3]空军军医大学基础医学院学员四大队十四队,西安710032 [4]空军军医大学西京医院颈腰伤病中心,西安710032

出　　处：《中国疼痛医学杂志》2025年第4期243-249,共7页Chinese Journal of Pain Medicine

基　　金：国家自然科学基金面上项目(82371226、81771183);空军军医大学临床研究一般项目(2022LC2215);空军军医大学西京医院临床研究专项(XJZT24LY16)。

摘　　要：躯体症状障碍(somaticsymptomdisorders,SSD)与慢性疼痛的症状高度重叠,疼痛是SSD病人最常见的躯体症状之一,疼痛科医师在SSD的高效评估和准确诊断上面临着重大挑战。常用量表评估难以充分解释和处理这些问题,临床需要客观、可靠的方法来改善以疼痛为表现的SSD病人的评估。新近研究提示自主神经功能改变在SSD发生与维持中扮演着重要角色。心率变异性、交感神经皮肤反应及红外热成像皮温检测等自主神经功能监测指标,为SSD的临床评估带来了新方向。本文旨在系统综述主流自主神经功能监测技术在SSD评估中的最新研究进展,并对这些方法的优点、局限性进行深入剖析,以期为临床实践提供新的视角和方法。There is a complex interrelationship between somatic symptom disorders(SSD)and chronic pain,while pain is a common complaint among SSD patients.The situation poses substantial challenges for pain specialists in efficiently evaluating and accurately diagnosing SSD.Traditional assessment tools often fall short in adequately explaining and addressing these issues,and there is a clinical need for objective and reliable methods to improve the evaluation of SSD patients presenting with pain.Recent studies have shown that autonomic nervous system function alterations are crucial in the onset and maintenance of SSD.Biomarkers reflecting autonomic nervous system status,such as heart rate variability,sympathetic skin response,and abnormal skin temperature distribution patterns,have introduced new directions for the clinical assessment of SSD.This article aims to systematically review the latest research advancements in mainstream autonomic nervous function monitoring technologies for SSD evaluation,and to provide an in-depth analysis of the advantages and limitations of these methods,thereby offering new perspectives and approaches for clinical practice.

关 键 词：躯体症状障碍 自主神经功能监测 心率变异性 红外热成像 交感神经皮肤反应 

分 类 号：R749.7[医药卫生—神经病学与精神病学]