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奥赛利定的作用机制、药理作用以及临床应用

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阿片类药物是临床上治疗急性疼痛最有效的药物,目前常用的阿片类药物容易引发呼吸系统以及恶心呕吐等不良反应,很大程度上限制了其在临床上的应用.因此,迫切需要研发镇痛活性强、呼吸抑制作用弱的新型阿片类药物.偏向性阿片激动剂奥赛利定证实具有等同于吗啡出色的镇痛效果,同时降低了传统阿片类药物不良反应的发生风险,还可降低总体医疗成本,诱发较低的痛觉过敏,为术后疼痛管理提供了一种更为安全和可靠的选择.本文主要综述了奥赛利定的作用机制、药理作用以及临床应用,为其合理使用提供依据.
Study on the Mechanism,Pharmacological Action and Clinical Application of Oliceridine
Opioids are the most effective drugs for the treatment of acute pain in clinic.However,Opioids which commonly used prone to cause adverse reactions such as respiratory system and nausea and vomiting,limits their clinical application greatly.Therefore,there is an urgent need to develop new opioids with strong analgesic activity and weak respiratory inhibition.The biased opioid agonist oxaliplatin has been proved to have excellent analgesic effect equivalent to morphine,while reducing the risk of adverse reactions of traditional opioids.It can also reduce the overall medical cost and induce lower hyperalgesia,which providing a safer and more reliable option for postoperative pain management.This article mainly reviews the mechanism of action,pharmacological effects and clinical applications of oliceridine,providing a basis for its rational use.

Biased opioid agonistOliceridineRespiratory depressionNausea and vomitingHyperalgesia

苏娅萍

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山东省新泰市人民医院药学部,山东 新泰 271200

偏向性阿片激动剂 奥赛利定 呼吸抑制 恶心呕吐 痛觉过敏

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(4)
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