首页|麻醉药物对组织细胞线粒体质量影响的研究进展

麻醉药物对组织细胞线粒体质量影响的研究进展

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近年来,临床常用麻醉药物通过影响线粒体质量进而影响整体生理状态的研究受到广泛关注.常用麻醉药物可以通过改变线粒体的形态与动力、功能与代谢以及线粒体蛋白表达等多种方式影响组织细胞的线粒体质量,直接或间接地影响围术期患者的临床结局.这种影响既有可能带来保护作用,也可能造成损伤,取决于药物种类、剂量、应用时间以及患者的状态等多种因素.本综述系统回顾了静脉麻醉药物、吸入麻醉药物、镇痛药物、局部麻醉药物等不同类型麻醉药物对组织细胞线粒体质量的影响及其潜在机制,为选择更安全的麻醉方案、减少术后并发症、优化术后恢复、制定新的治疗策略和优化围术期管理提供帮助.
Progress on the anesthetics affecting mitochondrial quality in tissue cells
In recent years,researchers have shown widespread attention in the impact of commonly used clinical anesthetics on overall physiological health by influencing mitochondrial quality.These widely used anesthetics can alter mitochondrial characteristics in several ways,such as modifying mitochondrial morphology and dynamics,affecting mitochondrial function and metabolism,and altering the expression of mitochondrial proteins.These changes have a direct or indirect effect on clinical outcomes during the peri-operative period.Either beneficial or detrimental consequences are decided by multiple factors,such as the type and dosage of anesthetic used,the timing of administration,and the patient's condition.This review comprehensively presents the effects of different types of anesthetic drugs,including intravenous anesthetics,inhalational anesthetics,analgesic,and local anesthetics,on the mitochondria quality of tissue cells and their potential mechanisms,which can facilitate selecting safer anesthesia protocols,minimizing postoperative complications,optimizing patients'postoperative recovery,developing new therapeutic strategies,and opti-mizing perioperative management.

AnestheticsMitochondrial qualityOrgan functionClinical outcome

谭旭鑫、刘瑞雪、但伶、黄河、段晨阳

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400010 重庆医科大学附属第二医院麻醉科

麻醉药物 线粒体质量 器官功能 临床结局

国家自然科学基金重庆市自然科学基金一般项目

822722522023NSCQ-MSX0559

2024

临床麻醉学杂志
中华医学会南京分会

临床麻醉学杂志

CSTPCD北大核心
影响因子:2.225
ISSN:1004-5805
年,卷(期):2024.40(10)