国际麻醉学与复苏杂志   2013, Issue (3): 10-10
    
全身麻醉药对脑功能影响的研究进展
李肇端, 刘兴奎, 喻田1()
1.天津市南开区三纬路122号南开医院麻醉科
The research progress of general anesthetics on the brain function
 全文:
摘要:

[摘要] 背景:全身麻醉应用于临床已有160多年的历史,但麻醉药导致相应的行为改变如意识丧失、遗忘和镇痛的神经生理机制是什么,至今仍不清楚,尤其对于其中最具特征性的全麻意识消失,人们对其了解最为肤浅。目的:综述全身麻醉药对离子通道和受体、各脑电活动的影响和脑功能的变化。内容:全麻机制的研究可以分六个层次,分别是:分子水平,突触水平,细胞水平,神经微环路水平,系统水平(脑区)以及行为水平。本文总结了近年来全身麻醉药(以下简称全麻药)在不同结构水平研究的最新进展,并从宏观上探讨全麻药对脑功能的影响。趋向:多种实验技术相结合将为全麻机制的研究提供新的方法。

关键词: 全麻机制;受体;电生理;fMRI
Abstract:

[Abstract] Background: The clinical application of general anesthesia has been used about 160 years, but neurophysiological mechanism of corresponding behavioral changes caused by anesthetic such as loss of consciousness, amnesia and analgesic are still unclear, especially for the most special unconsciousness,which is the most superficial understanding. Purpose: We reviewed the impact of general anesthetics on ion channels and corresonding receptors, as well as brain electrical activity and changes in brain function. Content: The research of general anesthesia mechanisms can be divided into six levels: the molecular , synaptic, cellular , neural micro-circuit level, system (brain areas) and behavioral level. This review summarized the progress about general anesthetics at different structrual levels and to explore the the change of on brain function by general anesthetics on macro level. Trends: The combination of different kinds of experimental techniques could provide a new approach for general anesthesia mechanism.

Key words: general anesthesia mechanism;receptor;electrophysiology;fMRI