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艾司氯胺酮临床应用的研究进展

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艾司氯胺酮是外消旋氯胺酮的S-对映异构体,具有与氯胺酮相似的药理学机制,且具有起效快、代谢快、对循环和呼吸功能影响小以及镇静镇痛作用较强等优点。因此,艾司氯胺酮在精神疾病、围术期麻醉和急救与危重症等多学科和领域的应用广泛。本文综述了艾司氯胺酮的药理学特点、作用机制、临床应用现状以及不良反应,以期为其应用和研究提供参考。
Research progress on the clinical application of esketamine
Esketamine is the S-enantiomer of racemic ketamine,which has a similar pharmacological mechanism to ketamine.Esketamine has the advantages of fast onset,fast metabolism,little impact on circulatory and respiratory functions,and strong sedative and analgesic effects.Therefore,esketamine is widely used in multidisciplinary and field areas such as psychiatric disorders,perioperative anesthesia,first aid and critical illness increasingly.This article reviews the pharmacological characteristics,mechanism of action,clinical application status and adverse reactions of esketamine,which aims to provide a reference for application and research.

EsketaminePerioperative anesthesiaMental illnessFirst aidCritical illnessDepressionAnalgesiaRefractory epilepsy

姜乐乐、杜晓宣

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新疆医科大学第六附属医院麻醉科,新疆乌鲁木齐 830000

艾司氯胺酮 围术期麻醉 精神疾病 急救 危重症 抑郁 镇痛 难治性癫痫

2024

中国临床研究
中华预防医学会

中国临床研究

CSTPCD
影响因子:0.943
ISSN:1674-8182
年,卷(期):2024.37(12)