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艾司氯胺酮在术后镇痛中的应用及研究进展

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术后疼痛是围手术期的常见并发症之一,术后镇痛不全可导致术后急性疼痛发展为慢性术后疼痛(CPSP),甚至引起患者的痛觉过敏和神经病理性疼痛,严重影响术后康复和生活质量。良好的术后镇痛是围术期医学关注的焦点,但大剂量阿片类药物和非甾体类抗炎药物用于术后镇痛的不良反应较多。艾司氯胺酮最初用于治疗难治性抑郁症,由于其具有阻断 N-甲基-D-天冬氨酸受体、降低疼痛中枢敏化的作用,目前国内开始将其应用于预防和缓解术后疼痛。故本文拟总结艾司氯胺酮在术后镇痛中的应用,为艾司氯胺酮在镇痛领域中的应用提供参考。
Application and research progress of esmketamine in postoperative analgesia
Postoperative pain is one of the common complications in the perioperative period.Inadequate postoperative analgesia can lead to acute postoperative pain developing into chronic postoperative pain(CPSP),and even cause hyperalgesia and neuropathic pain in patients,which seriously affects postoperative rehabilitation and quality of life.Good postoperative analgesia is the focus of perioperative medicine,but high-dose opioids and non-steroidal anti-inflammatory drugs for postoperative analgesia have more adverse reactions.Esketamine was initially used for the treatment of treatment-resistant depression.Because of its effect of blocking N-methyl-D-aspartate receptor and reducing central sensitization of pain,it has been used to prevent and relieve postoperative pain in China.Therefore,this article intends to summarize the application of esketamine in postoperative analgesia,and provide reference for the application of esketamine in the field of analgesia.

EsketaminePostoperative analgesiaN-methyl-D-aspartate receptorNeuroprotective effect

肖扬、张鲲

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长江大学附属荆州医院,湖北荆州 434000

艾司氯胺酮 术后镇痛 N-甲基-D-天冬氨酸受体 神经保护作用

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(3)
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