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右美托咪定对非心脏手术术后急性肾损伤影响的研究进展

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急性肾损伤(AKI)是围手术期常见的并发症,与死亡风险的增加、其他术后并发症的发生、住院时间的延长和潜在慢性肾病的进展密切相关.目前大多研究均展现出右美托咪定(Dex)对肾功能的保护作用.非心脏手术术后AKI的发生机制复杂,Dex通过稳定肾血流动力学、利尿、抗炎等机制以降低术后AKI的患病率.文章主要阐述Dex对肾功能的保护机制、静脉输注Dex策略以及静脉输注Dex的相关研究进展,以期为临床提供参考.
Research progress on the impact of dexmedetomidine on acute kidney injury after non-cardiac surgery
Acute kidney injury(AKI)is a common perioperative complication that is strongly associated with an increased risk of death,other postoperative complications,prolonged length of hospitalization stay,and the progression of potential chronic kidney dis-ease.At present,most studies have shown the protective effect of dexmedetomidine(Dex)on renal function.The pathogenesis of AKI af-ter non-cardiac surgery is complex.Dex can reduce the prevalence of AKI through stabilizing renal hemodynamics,diuresis,anti-inflammation and other mechanisms.This article mainly describes the protective mechanism of Dex on renal function,the strate-gies of intravenous Dex infusion,and the related research progress on intravenous Dex infusion,in order to provide clinical reference.

DexmedetomidineAcute kidney injuryNon-cardiac surgery

李荣会、拉巴次仁

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西藏大学医学院,拉萨 850000

西藏自治区人民医院麻醉科,拉萨 850000

右美托咪定 急性肾损伤 非心脏手术

2024

国际麻醉学与复苏杂志
中华医学会,徐州医学院

国际麻醉学与复苏杂志

CSTPCD
影响因子:0.909
ISSN:1673-4378
年,卷(期):2024.45(5)
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