nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2016-4-57-61nnp-673Research ArticleREVIEWSОБЗОРЫHYPERTENSION AND PAIN THRESHOLDАРТЕРИАЛЬНАЯ ГИПЕРТЕНЗИЯ И ПОРОГ ВОСПРИЯТИЯ БОЛИГринюкВ. В.GrinyukV. V.

Кафедра нервных болезней и нейрохирургии.

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery.

11, Rossolimo St., Moscow 119021

ЗахаровВ. В.ZakharovV. V.

Владимир Владимирович Захаров - кафедра нервных болезней и нейрохирургии.

119021, Москва, ул. Россолимо, 11, zakharovenator@gmail.com

Vladimir Vladimirovich Zakharov - Department of Nervous System Diseases and Neurosurgery.

11, Rossolimo St., Moscow 119021, zakharovenator@gmail.com

zakharovenator@gmail.comВахнинаН. В.VakhninaN. V.

Кафедра нервных болезней и нейрохирургии.

119021, Москва, ул. Россолимо, 11

Department of Nervous System Diseases and Neurosurgery.

11, Rossolimo St., Moscow 119021

Первый Московский государственный медицинский университет имени И.М. СеченоваРоссияI.M. Sechenov First Moscow State Medical UniversityRussian Federation201616122016845761Copyright © Grinyuk V.V., Zakharov V.V., Vakhnina N.V., 20162016Гринюк В.В., Захаров В.В., Вахнина Н.В.Grinyuk V.V., Zakharov V.V., Vakhnina N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/673

The paper considers the relationship between pain threshold and blood pressure (BP) in acute and chronic pain syndrome. Both experimental and clinical studies have established that elevated BP is accompanied by a higher pain threshold in acute pain (hypertension-related hypoalgesia). Epidemiological findings have shown that the prevalence of different pain syndromes is significantly lower in hypertensive patients than in individuals without hypertension. At the same time, there is evidence that elevated BP can, on the contrary, reduce pain thresholds and make prognosis worse in patients with chronic pain syndromes.

В статье рассматривается взаимосвязь между порогом восприятия боли и артериальным давлением (АД) при остром и хроническом болевом синдроме. Как в экспериментальных, так и в клинических работах было установлено, что подъем АД сопровождается повышением порога болевой чувствительности при острой боли (гипоалгезия, связанная с артериальной гипертензией – АГ). По эпидемиологическим данным, распространенность различных болевых синдромов у гипертоников достоверно меньше, чем у лиц без АГ. В то же время имеются данные о том, что повышенное АД, напротив, может снижать болевой порог и способствовать ухудшению прогноза у пациентов с хроническими болевыми синдромами.

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The authors declare that there are no conflicts of interest present.