国际麻醉学与复苏杂志   2015, Issue (7): 1-1
    
吸入麻醉药的神经毒性作用研究新进展
谢思宁, 安立新1()
1.首都医科大学附属北京天坛医院麻醉科
Research Advances on Neurotoxicity of Inhalational Anesthetics
 全文:
摘要:

背景:吸入麻醉药具有安全、有效的特点,已广泛应用于各种手术的临床麻醉。大量实验研究表明常用的吸入麻醉药均有不同程度的神经毒性作用,尤其是对于发育高峰期的大脑。目的:探讨吸入麻醉药对幼年动物及小儿的神经毒性作用及其可能的机制。内容:吸入麻醉药具有神经毒性,可能会引起幼年动物学习及记忆功能的损伤,影响小儿神经发育导致认知行为障碍。 目前认为机制可能是多途径的,包括受体的影响、突触可塑性变化、脑的炎性反应和相关脑内物质的改变等。趋向: 正确了解吸入麻醉药的神经毒性作用不仅对婴幼儿麻醉药物的选择具有非常重要的指导意义,并且通过探索机制寻找可能的处理方法,为今后的临床处理提供新的思路。

关键词: 吸入麻醉药;神经毒性作用;机制
Abstract:

Background:The safety and effectiveness character of inhalational anesthetics made them extensively used in clinical anesthesia. However, recent studies have indicated that different degrees of neurotoxicity were caused by inhalational anesthetics, especially when used in the peak period of the development of the brain system. Objective:To discuss the neurotoxicity and potential mechanisms of inhalational anesthetics to young animals and young children. Content:The neurotoxicity of inhalational anesthetics may cause the impairment of the function in the talent of learning and memory for young animals, also to the neural system of children to lead to cognitive behavioral disorders. While, the potential mechanisms might be multi-approach, including the influence of receptors, changes in synaptic plasticity, inflammatory reaction of the brain and changes of related substance in the brain. Trend:A thorough understanding to the neurotoxicity of the inhalational anesthetics can not only provide direction for the selection of medicines during pediatric surgical anesthesia, but also offer new ideas for clinical procedures via the mechanism investigation.

Key words: Inhalational anesthetics; Neurotoxicity; Mechanisms