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[氙用于术后镇痛:为何不呢?]

[Xenon for postoperative analgesia: why not?].

作者信息

Genov P G, Smirnova O V, Timerbaev V Kh

出版信息

Anesteziol Reanimatol. 2011 May-Jun(3):74-7.

Abstract

Xenon is widely used for maintenance of anesthesia, however the analgesic effect of this noble gas brings to an idea of its use in analgesic schemes. The first time antinociceptive features of Xe were described by B. Lachman and colleagues in 1988. It is well known that Xe realises its analgesic potential through powerful non-competitive blockade of NMDA-glutamate receptors, by that suppressing the development of hyperalgesia process in neurons of posterior horns of spinal cord, which take part in the process of pain transmission and forming of central sensitization and becoming the actual "gates of pain". In the given review the literature data on mechanisms, effectiveness, safety and farmacoeconomic justification of the use of Xe as an analgesic in clinical practice are brought up.

摘要

氙气被广泛用于维持麻醉,然而这种稀有气体的镇痛作用引发了将其用于镇痛方案的想法。1988年,B. 拉赫曼及其同事首次描述了氙气的抗伤害感受特性。众所周知,氙气通过对NMDA-谷氨酸受体的强大非竞争性阻断来实现其镇痛潜力,从而抑制脊髓后角神经元中痛觉过敏过程的发展,这些神经元参与疼痛传递过程以及中枢敏化的形成,并成为实际的“疼痛之门”。在这篇综述中,我们提出了关于氙气在临床实践中用作镇痛药的机制、有效性、安全性和药物经济学依据的文献数据。

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