摘要
艾司氯胺酮作为外消旋氯胺酮的S-对映异构体,具有很强的镇痛作用,近年来越来越多应用于围术期中。本文通过文献调研近年来艾司氯胺酮在不同麻醉剂量下的镇静镇痛作用、抗抑郁作用、抑制炎症作用、肺保护作用和不良反应,就亚麻醉剂量下艾司氯胺酮在围术期的应用特点进行综述,为患者安全良好的围术期镇痛提供理论依据。
As the S-enantiomer of racemic ketamine,esketamine has a strong analgesic effect and has been increasingly used in the perioperative period in recent years.This article reviews the sedative and analgesic effects,antidepressant effects,anti-inflammatory effects,lung protective effects and adverse reactions of esmketamine under different anesthetic doses in recent years,and reviews the characteristics of the application of esmketamine under subanesthetic doses in the perioperative period,so as to provide theoretical basis for patients’safety and good perioperative analgesia.
作者
张俊
李伯桐
苏涛
ZHANG Jun;LI Botong;SU Tao(Graduate School of Xinjiang Medical University,Urumqi 830000;Research Center for High Altitude Medicine,Qinghai University Medical College,Xining 810000;Department of Anesthesiology,People’s Hospital of Xinjiang Uygur Autonomous Region,Xinjiang Clinical Research Center for Anesthesia Management,Urumqi 830000,China)
出处
《麻醉安全与质控》
2024年第6期346-350,共5页
Perioperative Safety and Quality Assurance
基金
新疆维吾尔自治区重点研发计划项目(2022B03009-4)。
关键词
亚麻醉剂量
艾司氯胺酮
围术期镇痛
肺保护
subanesthesia dose
esketamine
perioperative analgesia
lung protection
