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艾司氯胺酮在产后抑郁的应用及机制研究进展

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产后抑郁是产妇围产期常见的精神障碍性疾病,会影响产妇的产后情绪,甚至造成患者出现自杀或杀害婴儿的行为.目前,临床上常用的治疗产后抑郁的药物具有治疗失败率高、起效缓慢以及价格昂贵等缺点,迫切需要能够快速起效且安全性高的药物.大量临床研究表明,艾司氯胺酮具有快速抗抑郁及抗自杀的作用.2019年,美国食品和药品监督管理局(FDA)批准氯胺酮的右旋异构体艾司氯胺酮作为难治性抑郁的治疗选择,也使其在产后抑郁的预防和治疗中受到关注.文章就目前国内外相关文献,对艾司氯胺酮在产后抑郁治疗领域的应用及其机制进行综述,旨在为产后抑郁患者的预防和治疗提供新思路.
Research progress on the treatment and its mechanism of postpartum depression with Esketamine
Postpartum depression is a common mental disorder in postpartum women,which can affect their postpartum emo-tions and even lead to suicidal or infanticide behaviors.However,the commonly used drugs for treating postpartum depression in clini-cal practice have disadvantages such as high treatment failure rate,slow onset and high cost.There is an urgent need for drugs that can take effect quickly and have high safety.Numerous clinical studies show that Esketamine has rapid antidepressant and anti-suicidal ef-fects.In 2019,the US Food and Drug Administration(FDA)approved the dextroisomer of ketamine,Esketamine,as a treatment option for refractory depression,which has also attracted attention in the prevention and treatment of postpartum depression.The paper re-views the application and mechanism of Esketamine in the treatment of postpartum depression based on relevant domestic and foreign literature,aiming to provide new ideas for the prevention and treatment of postpartum depression patients.

Esketaminepostpartum depressionmechanismclinical research

李静、冯善武

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210004 南京,南京医科大学附属妇产医院(南京市妇幼保健院)麻醉科

艾司氯胺酮 产后抑郁症 机制 临床研究

2024

医学研究生学报
南京军区南京总医院

医学研究生学报

CSTPCD北大核心
影响因子:1.652
ISSN:1008-8199
年,卷(期):2024.37(9)