Pribish Abby, Wood Nicole, Kalava Arun
Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Department of Medicine, Cleveland Clinic, Cleveland, OH, USA.
Anesthesiol Res Pract. 2020 Apr 1;2020:5798285. doi: 10.1155/2020/5798285. eCollection 2020.
Ketamine, a nonselective NMDA receptor antagonist, is used widely in medicine as an anesthetic agent. However, ketamine's mechanisms of action lead to widespread physiological effects, some of which are now coming to the forefront of research for the treatment of diverse medical disorders. This paper aims at reviewing recent data on key nonanesthetic uses of ketamine in the current literature. MEDLINE, CINAHL, and Google Scholar databases were queried to find articles related to ketamine in the treatment of depression, pain syndromes including acute pain, chronic pain, and headache, neurologic applications including neuroprotection and seizures, and alcohol and substance use disorders. It can be concluded that ketamine has a potential role in the treatment of all of these conditions. However, research in this area is still in its early stages, and larger studies are required to evaluate ketamine's efficacy for nonanesthetic purposes in the general population.
氯胺酮是一种非选择性N-甲基-D-天冬氨酸(NMDA)受体拮抗剂,在医学上被广泛用作麻醉剂。然而,氯胺酮的作用机制会导致广泛的生理效应,其中一些效应目前正成为治疗各种医学疾病研究的前沿。本文旨在综述当前文献中关于氯胺酮关键非麻醉用途的最新数据。通过查询医学文献数据库(MEDLINE)、护理及健康领域数据库(CINAHL)和谷歌学术数据库,以查找与氯胺酮治疗抑郁症、疼痛综合征(包括急性疼痛、慢性疼痛和头痛)、神经学应用(包括神经保护和癫痫)以及酒精和物质使用障碍相关的文章。可以得出结论,氯胺酮在治疗所有这些病症方面具有潜在作用。然而,该领域的研究仍处于早期阶段,需要开展更大规模的研究来评估氯胺酮在普通人群中用于非麻醉目的的疗效。