Li Xingyue, Jiang Xi, Zhao Ping
Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang, China.
Department of Neurosurgery, Shenyang Chest Hospital, Shenyang, China.
Front Pharmacol. 2021 Feb 1;11:523514. doi: 10.3389/fphar.2020.523514. eCollection 2020.
The effects of general anesthesia on the developing brain remain a great concern in the medical field and even in the public, and most researches in this area focus on infancy and childhood. In recent years, with the continuous development of medical technology, the number of operations during pregnancy is increasing, however, studies on general anesthesia during pregnancy are relatively lacking. The mid-trimester of pregnancy is a critical period, and is regarded as a safe period for surgery, but it is a fragile period for the development of the central nervous system and is particularly sensitive to the impact of the environment. Our research group found that general anesthesia may have adverse effects on fetal neurodevelopment during the mid-trimester. Therefore, in this review, we summarize the characteristics of anesthesia during pregnancy, and the related research of the anesthesia's impacts on the development of central nervous system were introduced.
全身麻醉对发育中的大脑的影响一直是医学领域乃至公众极为关注的问题,该领域的大多数研究集中在婴儿期和儿童期。近年来,随着医疗技术的不断发展,孕期手术的数量不断增加,然而,关于孕期全身麻醉的研究相对较少。妊娠中期是一个关键时期,被认为是手术的安全期,但却是中枢神经系统发育的脆弱时期,对环境影响尤为敏感。我们的研究小组发现,全身麻醉可能对妊娠中期胎儿的神经发育产生不利影响。因此,在本综述中,我们总结了孕期麻醉的特点,并介绍了麻醉对中枢神经系统发育影响的相关研究。