国际麻醉学与复苏杂志   2022, Issue (6): 0-0
    
吗啡减轻心肌缺血再灌注损伤的研究进展
朱瑞, 金世云, 张野1()
1.安徽医科大学第二附属医院
Research advances of morphine in protecting the heart from ischemia reperfusion injury
 全文:
摘要:

心肌缺血再灌注损伤(ischemia reperfusion injury, IRI)是临床中常见的病理生理过程,尽管目前预防心肌IRI尚未取得突破性进展,但有多种药物已经表现出较好的临床应用前景。吗啡作为经典的阿片类药物,不仅可以减轻正常心肌的IRI,还可以缓解某些病理状态下的心肌缺血后损伤。通过梳理近年来国内外相关研究,综述吗啡在心肌保护方面的应用途径及其作用机制,为吗啡在减轻心肌IRI中的临床应用及进一步研究提供参考。

关键词: 吗啡; 心肌; 缺血再灌注损伤; 阿片类药物
Abstract:

Myocardial ischemia reperfusion injury (IRI) is a typical clinically pathophysiological process. Although no breakthrough has been made in preventing myocardial IRI, many drugs have shown promising clinical effects. Morphine, as a traditional opioid analgesic, can alleviate the IRI of the normal myocardium and reduce the post‑ischemic injury of the myocardium under certain pathological conditions. This paper aims to review the application of morphine in myocardial protection and its mechanism to provide scientific reference for the clinical application and further research of morphine in alleviating myocardial ischemia.

Key words: Morphine; Myocardium; Ischemia reperfusion injury; Opioid