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右美托咪定在手术麻醉及镇痛中的应用研究进展

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随着我国经济的腾飞,人们在物质及精神层面都有了极大的改变,这就造成了人们对于疼痛的耐受性同样发生了改变,患者在就医时多数都希望医生在治疗时可以尽量将疼痛降低,甚至无痛。因此临床麻醉用药在此推动下得到了广泛的发展,有效的麻醉可显著降低患者的痛苦,从而使治疗更加顺利的进行,最终极大提高了治疗效率。右美托咪定是目前临床上应用较高,效果较好的一种新型α2肾上腺素受体激动剂,其亲和力比可乐定高 8 倍,在镇痛、镇静、抗应激等方面发挥着重要作用,同时还可以减少其他此类药物的用量,降低不良反应发生率,故其已经被广泛的应用到实验室的相关实验中,并取得了很好的效果。近年来,右美托咪定开始越来越多的应用于心血管手术麻醉中,其在镇静、镇痛、抗交感、抑制应激反应、稳定血流动力学等方面均收到了很好的效果,因此,本文就其药理学、药效动力学及临床应用的研究进展进行综述,以期为临床麻醉提供理论依据及基础。
Research progress of dexmedetomidine in surgical anesthesia and analgesia
With the economic development of our country,people have changed greatly on the material and spiritual level,which has also caused changes in their tolerance to pain.When patients go to see a doctor,most of them hope that doctors can try to reduce the pain or even make it painless.Therefore,clinical anesthesia has been widely developed under this promotion.Effective anesthesia can significantly reduce the pain of patients,so as to make the treatment proceed more smoothly,and ultimately greatly improve the treatment efficiency.Dexmedetomidine is a novel α2-adrenergic receptor agonist with high clinical application and good effect.Its affinity is 8 times that of clonidine.Dexmedetomidine plays an important role in analgesia,sedation,anti-stress and other aspects,and can also reduce the dosage of other such drugs and reduce the incidence of adverse reactions.Therefore,it has been widely used in laboratory experiments,and has achieved good results.In recent years,dexmedetomidine has been more and more used in cardiovascular surgery anesthesia,which has received good effects in sedation,analgesia,anti-sympathetic,inhibition of stress response,stability of hemodynamics and other aspects.Therefore,this article reviews the research progress of its pharmacology,pharmacodynamics and clinical application,in order to provide theoretical basis and foundation for clinical anesthesia.

DexmedetomidineSurgeryAnesthesiaAnalgesia

胡乃元

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225000 扬州市疾病预防控制中心

右美托咪定 手术 麻醉 镇痛

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(5)
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