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加巴喷丁用于术后急性疼痛管理

Gabapentin in acute postoperative pain management.

作者信息

Chang Connie Y, Challa Chaitanya K, Shah Janki, Eloy Jean Daniel

机构信息

Department of Anesthesia, Rutgers New Jersey Medical School, 185 South Orange Avenue, MSB E-538, Newark, NJ 07101-1709, USA.

出版信息

Biomed Res Int. 2014;2014:631756. doi: 10.1155/2014/631756. Epub 2014 Apr 14.

DOI:10.1155/2014/631756
PMID:24829909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4009126/
Abstract

Gabapentin (1-aminomethyl-cyclohexaneacetic acid) is an amino acid that has the structure of the neurotransmitter γ -aminobutyric acid (GABA). It is a novel drug used for the treatment of postoperative pain with antihyperalgesic properties and a unique mechanism of action. Gabapentin and the related, more potent compound pregabalin have been shown to be beneficial in the treatment of neuropathic pain as well as postoperative pain following spinal surgery and hysterectomy. This study reviews five aspects of gabapentin: (1) chemical and structural characteristics; (2) pharmacokinetics and pharmacodynamics; (3) application in acute pain management; (4) adverse effects; and (5) drug safety. Overall, gabapentin has been reported to be a safe and efficacious drug for the treatment of postoperative pain.

摘要

加巴喷丁(1-氨甲基环己烷乙酸)是一种具有神经递质γ-氨基丁酸(GABA)结构的氨基酸。它是一种用于治疗术后疼痛的新型药物,具有抗痛觉过敏特性和独特的作用机制。加巴喷丁以及相关的、效力更强的化合物普瑞巴林已被证明在治疗神经性疼痛以及脊柱手术和子宫切除术后的疼痛方面有益。本研究回顾了加巴喷丁的五个方面:(1)化学和结构特征;(2)药代动力学和药效学;(3)在急性疼痛管理中的应用;(4)不良反应;以及(5)药物安全性。总体而言,据报道加巴喷丁是一种治疗术后疼痛的安全有效的药物。

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Gabapentin in acute postoperative pain management.加巴喷丁用于术后急性疼痛管理
Biomed Res Int. 2014;2014:631756. doi: 10.1155/2014/631756. Epub 2014 Apr 14.
2
Postoperative pain management--is there a role for gabapentin or pregabalin?术后疼痛管理——加巴喷丁或普瑞巴林是否有作用?
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本文引用的文献

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Gabapentin and pregabalin in the management of postoperative pain after lumbar spinal surgery: a systematic review and meta-analysis.加巴喷丁和普瑞巴林在腰椎手术后管理术后疼痛中的应用:系统评价和荟萃分析。
Spine (Phila Pa 1976). 2013 Oct 15;38(22):1947-52. doi: 10.1097/BRS.0b013e3182a69b90.
2
Is there a role for gabapentin in preventing or treating pain following thoracic surgery?加巴喷丁在预防或治疗胸外科手术后疼痛方面是否有作用?
Interact Cardiovasc Thorac Surg. 2013 Oct;17(4):716-9. doi: 10.1093/icvts/ivt301. Epub 2013 Jul 6.
3
The effect of gabapentin premedication on postoperative nausea, vomiting, and pain in patients on preoperative dexamethasone undergoing craniotomy for intracranial tumors.术前地塞米松预处理的颅内肿瘤开颅术患者加巴喷丁预防用药对术后恶心、呕吐和疼痛的影响。
J Neurosurg Anesthesiol. 2013 Oct;25(4):386-91. doi: 10.1097/ANA.0b013e31829327eb.
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Effect of a preoperative gabapentin on postoperative analgesia in patients with inflammatory bowel disease following major bowel surgery: a randomized, placebo-controlled trial.术前加巴喷丁对炎症性肠病患者大肠道手术后术后镇痛的影响:一项随机、安慰剂对照试验。
Pain Pract. 2014 Feb;14(2):132-9. doi: 10.1111/papr.12058. Epub 2013 Apr 8.
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The prophylactic effects of gabapentin on postoperative sore throat after thyroid surgery.加巴喷丁预防甲状腺手术后咽喉痛的效果。
Korean J Anesthesiol. 2013 Feb;64(2):138-42. doi: 10.4097/kjae.2013.64.2.138. Epub 2013 Feb 15.
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Gabapentin for once-daily treatment of post-herpetic neuralgia: a review.加巴喷丁治疗带状疱疹后神经痛:综述。
Clin Interv Aging. 2012;7:249-55. doi: 10.2147/CIA.S23783. Epub 2012 Jul 12.
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Effect of pre-emptive gabapentin on postoperative pain following lower extremity orthopaedic surgery under spinal anaesthesia.椎管内麻醉下下肢骨科手术后预先给予加巴喷丁对术后疼痛的影响。
Singapore Med J. 2011 Dec;52(12):879-82.
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Effects of gabapentin on postoperative pain, nausea and vomiting after abdominal hysterectomy: a double blind randomized clinical trial.加巴喷丁对腹部子宫切除术后疼痛、恶心和呕吐的影响:一项双盲随机临床试验。
Arch Gynecol Obstet. 2012 Mar;285(3):677-82. doi: 10.1007/s00404-011-2023-6. Epub 2011 Aug 5.
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Preoperative gabapentin for acute post-thoracotomy analgesia: a randomized, double-blinded, active placebo-controlled study.术前加巴喷丁用于急性开胸术后镇痛:一项随机、双盲、阳性药物对照研究。
Pain Pract. 2012 Mar;12(3):175-83. doi: 10.1111/j.1533-2500.2011.00480.x. Epub 2011 Jun 16.
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The effects of gabapentin on acute and chronic postoperative pain after coronary artery bypass graft surgery.加巴喷丁对冠状动脉旁路移植术后急性和慢性术后疼痛的影响。
J Cardiothorac Vasc Anesth. 2011 Oct;25(5):824-9. doi: 10.1053/j.jvca.2010.11.017. Epub 2011 Jan 12.