国际麻醉学与复苏杂志   2013, Issue (7): 1-1
    
氯胺酮的非麻醉应用
沈杨, 张马忠1()
1.上海交通大学附属儿童医学中心麻醉科
The non-anesthetic use of ketamine
 全文:
摘要:

【摘要】背景 氯胺酮是一种临床常见的静脉麻醉药,尤其在小儿麻醉领域中占据着独特的地位。由于此药的一些副反应限制它的运用,曾淡出临床医生的视野。近年来,氯胺酮又被陆续报道出有许多其它的药效,譬如:减少痛觉过敏、神经保护、抗抑郁、抗癌和抗炎等。目的 综述近年来发现的氯胺酮的非麻醉应用。内容 回顾氯胺酮的镇痛作用、神经保护作用、抗抑郁作用、抗肿瘤和抗炎作用及其机理。趋向 为临床上氯胺酮的应用提供新的思路。

关键词: 氯胺酮;慢性疼痛;神经保护;抗肿瘤;机制
Abstract:

【Abstract】Background Ketamine is a kind of intravenous anaesthetics, which occupies a unique niche in infantile anesthesiology. But the side effects restricted the use of ketamine. While in the past few years, ketamine was reported to have several new clinically beneficial properties such as prevention of hyperalgesia, neuroprotection, anti-depression, anti-tumour, anti-inflammatory and so on. Objective We bring together the recent studies on non-anesthetic use of ketamine. Content This article review the analgesic effect of ketamine, especial its use and mechanism in chronic pain, put importance on the introduction of neuroprotection effect, anti-depression effect, anti-tumour and anti-inflammatory effect. Trend To provide new ideas for the use of ketamine on clinic.

Key words: ketamine; chronic pain; neuroprotection; anti-tumour; mechanism