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[纳布啡用于小儿麻醉]

[Nalbuphine in pediatric anesthesia].

作者信息

Schultz-Machata A-M, Becke K, Weiss M

机构信息

Universitätsklinik für Anästhesie, Allgemeine Intensivmedizin und Schmerztherapie, Klinische Abteilung für allgemeine Anästhesie und Intensivmedizin, Medizinische Universität Wien, 1090, Wien, Österreich,

出版信息

Anaesthesist. 2014 Feb;63(2):135-43. doi: 10.1007/s00101-014-2293-z.

DOI:10.1007/s00101-014-2293-z
PMID:24504192
Abstract

Efficient and safe pediatric perioperative pain therapy in the context of a multimodal pain therapy concept requires a slight to moderate opioid analgesic. Nalbuphine is a nearly ideal opioid for this purpose due to its unique pharmacological properties as a μ-receptor antagonist/κ-receptor agonist and a high safety profile. Nalbuphine is used clinically primarily in postoperative pain therapy administered as a bolus, continuous infusion and patient-controlled analgesia. Furthermore, it is administered in different regimens for pediatric diagnostic and interventional sedation.

摘要

在多模式疼痛治疗理念的背景下,高效且安全的儿科围手术期疼痛治疗需要使用轻度至中度的阿片类镇痛药。纳布啡因其作为μ受体拮抗剂/κ受体激动剂的独特药理特性和较高的安全性,几乎是用于此目的的理想阿片类药物。纳布啡在临床上主要用于术后疼痛治疗,给药方式包括静脉推注、持续输注和患者自控镇痛。此外,它还以不同的给药方案用于儿科诊断和介入性镇静。

相似文献

1
[Nalbuphine in pediatric anesthesia].[纳布啡用于小儿麻醉]
Anaesthesist. 2014 Feb;63(2):135-43. doi: 10.1007/s00101-014-2293-z.
2
Sexual dimorphism in very low dose nalbuphine postoperative analgesia.极低剂量纳布啡术后镇痛中的性别差异。
Neurosci Lett. 2003 Mar 13;339(1):1-4. doi: 10.1016/s0304-3940(02)01438-6.
3
Combination of opioid agonist and agonist-antagonist: patient-controlled analgesia requirement and adverse events among different-ratio morphine and nalbuphine admixtures for postoperative pain.阿片类激动剂与激动剂 - 拮抗剂联合使用:不同比例吗啡与纳布啡混合用于术后疼痛时的患者自控镇痛需求及不良事件
Br J Anaesth. 2008 Oct;101(4):542-8. doi: 10.1093/bja/aen213. Epub 2008 Jul 17.
4
The kappa opioid nalbuphine produces gender- and dose-dependent analgesia and antianalgesia in patients with postoperative pain.κ阿片类药物纳布啡在术后疼痛患者中产生性别和剂量依赖性镇痛及抗镇痛作用。
Pain. 1999 Nov;83(2):339-45. doi: 10.1016/s0304-3959(99)00119-0.
5
Neuroleptics antagonize nalbuphine antianalgesia.抗精神病药可拮抗纳布啡的抗痛觉缺失作用。
J Pain. 2006 Mar;7(3):187-91. doi: 10.1016/j.jpain.2005.10.005.
6
Dual κ-agonist/μ-antagonist opioid receptor modulation reduces levodopa-induced dyskinesia and corrects dysregulated striatal changes in the nonhuman primate model of Parkinson disease.双重κ激动剂/μ拮抗剂对阿片受体的调节可减少左旋多巴诱导的异动症,并纠正帕金森病非人灵长类动物模型中纹状体的失调变化。
Ann Neurol. 2015 Jun;77(6):930-41. doi: 10.1002/ana.24375. Epub 2015 Mar 27.
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Nalbuphine by PCA-pump for analgesia following hysterectomy: bolus application versus continuous infusion with bolus application.用于子宫切除术后镇痛的静脉自控镇痛泵给予纳布啡:单次给药与单次给药联合持续输注的比较
Eur J Pain. 2001;5(2):219-26. doi: 10.1053/eujp.2001.0238.
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Pharmacokinetic comparison of nalbuphine with single injection and patient-controlled analgesia mimic method in healthy Chinese volunteers.纳布啡在健康中国志愿者中单次注射与患者自控镇痛模拟方法的药代动力学比较。
J Clin Pharm Ther. 2021 Aug;46(4):1166-1172. doi: 10.1111/jcpt.13421. Epub 2021 May 3.
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An examination of the interactions between the antinociceptive effects of morphine and various mu-opioids: the role of intrinsic efficacy and stimulus intensity.吗啡与各种μ阿片类药物的抗伤害感受作用之间的相互作用研究:内在效能和刺激强度的作用
Anesth Analg. 1999 Feb;88(2):407-13. doi: 10.1097/00000539-199902000-00035.
10
Postoperative pain management after supratentorial craniotomy.幕上开颅术后的疼痛管理
J Neurosurg Anesthesiol. 2002 Apr;14(2):96-101. doi: 10.1097/00008506-200204000-00002.

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Efficacy and safety comparison of esketamine-propofol with nalbuphine-propofol for upper gastrointestinal endoscopy in children: a multi-center randomized controlled trial.艾司氯胺酮-丙泊酚与纳布啡-丙泊酚用于儿童上消化道内镜检查的疗效与安全性比较:一项多中心随机对照试验
Front Pediatr. 2023 Jun 27;11:1126522. doi: 10.3389/fped.2023.1126522. eCollection 2023.
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Effect of nalbuphine on rocuronium injection pain.

本文引用的文献

1
Perioperative analgesia in pediatric surgery.小儿外科学围手术期镇痛。
Curr Opin Anaesthesiol. 2013 Aug;26(4):420-7. doi: 10.1097/ACO.0b013e3283625cc8.
2
Opioid-induced respiratory depression in paediatrics: a review of case reports.儿科阿片类药物引起的呼吸抑制:病例报告综述。
Br J Anaesth. 2013 Feb;110(2):175-82. doi: 10.1093/bja/aes447. Epub 2012 Dec 17.
3
Everyday regional anesthesia in children.儿童日常区域麻醉
纳布啡对罗库溴铵注射痛的影响。
World J Pediatr Surg. 2021 May 27;4(3):e000249. doi: 10.1136/wjps-2020-000249. eCollection 2021.
4
Sufentanil Combined with Nalbuphine via Patient-Controlled Intravenous Analgesia After Cesarean Section: A Retrospective Evaluation.舒芬太尼联合纳布啡经产妇自控静脉镇痛用于剖宫产术后的回顾性评价。
Drug Des Devel Ther. 2022 Oct 21;16:3711-3721. doi: 10.2147/DDDT.S380292. eCollection 2022.
5
Pharmacokinetics and tolerability of intranasal or intravenous administration of nalbuphine in infants.纳布啡经鼻内或静脉给药在婴儿中的药代动力学和耐受性。
Arch Dis Child. 2023 Jan;108(1):56-61. doi: 10.1136/archdischild-2022-323807. Epub 2022 Sep 13.
6
Comparison of Side Effects of Nalbuphine and Morphine in the Treatment of Pain in children with Cancer: A Prospective Study.纳布啡与吗啡治疗儿童癌症疼痛的副作用比较:一项前瞻性研究。
Cancers (Basel). 2022 Jul 25;14(15):3617. doi: 10.3390/cancers14153617.
7
Nasal nalbuphine analgesia in prehospital trauma managed by first-responder personnel on ski slopes in Switzerland: an observational cohort study.瑞士滑雪道上由第一响应人员管理的创伤前鼻内纳布啡镇痛:一项观察性队列研究。
Scand J Trauma Resusc Emerg Med. 2021 Feb 17;29(1):36. doi: 10.1186/s13049-021-00852-y.
8
[German S1 guideline: obstructive sleep apnea in the context of tonsil surgery with or without adenoidectomy in children-perioperative management].[德国S1指南:儿童扁桃体手术(伴或不伴腺样体切除术)背景下的阻塞性睡眠呼吸暂停——围手术期管理]
HNO. 2021 Jan;69(1):3-13. doi: 10.1007/s00106-020-00970-6. Epub 2020 Dec 22.
9
Pain management after ambulatory surgery: a prospective, multicenter, randomized, double-blinded parallel controlled trial comparing nalbuphine and tramadol.门诊手术后的疼痛管理:一项比较纳布啡和曲马多的前瞻性、多中心、随机、双盲平行对照试验。
BMC Anesthesiol. 2020 Aug 15;20(1):204. doi: 10.1186/s12871-020-01125-4.
Paediatr Anaesth. 2012 Oct;22(10):995-1001. doi: 10.1111/pan.12003.
4
Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital.十倍用药差错:一家大学附属儿童医院五年经验。
Pediatrics. 2012 May;129(5):916-24. doi: 10.1542/peds.2011-2526. Epub 2012 Apr 2.
5
Equal volumes of undiluted nalbuphine and lidocaine and normal diluted saline prevents nalbuphine-induced injection pain.等体积的未稀释纳布啡、利多卡因和普通稀释盐水可预防纳布啡引起的注射疼痛。
Acta Anaesthesiol Taiwan. 2011 Dec;49(4):125-9. doi: 10.1016/j.aat.2011.11.009. Epub 2011 Dec 24.
6
Does regional anaesthesia really improve outcome?区域麻醉真的能改善预后吗?
Br J Anaesth. 2011 Dec;107 Suppl 1:i90-5. doi: 10.1093/bja/aer340.
7
A meta-analysis of the use of nonsteroidal antiinflammatory drugs for pediatric postoperative pain.非甾体抗炎药在小儿术后疼痛中应用的荟萃分析。
Anesth Analg. 2012 Feb;114(2):393-406. doi: 10.1213/ANE.0b013e31823d0b45. Epub 2011 Nov 21.
8
Intranasal fentanyl for pain management in children: a systematic review of the literature.鼻腔内芬太尼在儿童疼痛管理中的应用:文献系统评价。
J Pediatr Health Care. 2011 Sep-Oct;25(5):316-22. doi: 10.1016/j.pedhc.2010.04.011. Epub 2010 Jun 17.
9
Effect of nalbuphine on haemodynamic response to orotracheal intubation.纳布啡对经口气管插管血流动力学反应的影响。
J Anaesthesiol Clin Pharmacol. 2010 Oct;26(4):458-60.
10
Population pharmacokinetics of nalbuphine after surgery in children.儿童手术后纳布啡的群体药代动力学。
Br J Anaesth. 2011 Apr;106(4):558-65. doi: 10.1093/bja/aer001. Epub 2011 Feb 9.