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手术室中阿片类药物节省型疼痛管理的生化策略。

Biochemical strategies for opioid-sparing pain management in the operating room.

作者信息

Hosseinzadeh Fatemeh, Nourazarian Alireza

机构信息

Department of Operating Room, Khoy University of Medical Sciences, Khoy, Iran.

Department of Basic Medical Sciences, Khoy University of Medical Sciences, Khoy, Iran.

出版信息

Biochem Biophys Rep. 2025 Jan 25;41:101927. doi: 10.1016/j.bbrep.2025.101927. eCollection 2025 Mar.

Abstract

The opioid epidemic has highlighted the increasing need for alternative pain relievers in surgical settings. This review explores non-opioid approaches for managing pain in the ever-changing operating room. The review examines the molecular basis of pain perception, with a focus on receptor-targeted treatments that offer effectiveness without the risks associated with opioids. Despite the demonstrated benefits and improved side effect profiles, our literature analysis reveals the challenges that hinder the integration of innovative pain relievers. We explore the potential of neuroimmune modulators, peptide disruptors, and new neurotransmitter analogs in the quest for effective pain relief, paving the way for a future of anesthesia without opioids.

摘要

阿片类药物流行凸显了手术环境中对替代止痛药物的需求日益增加。本综述探讨了在不断变化的手术室中管理疼痛的非阿片类方法。该综述研究了疼痛感知的分子基础,重点关注靶向受体的治疗方法,这些方法在提供有效性的同时避免了与阿片类药物相关的风险。尽管已证明这些方法具有益处且副作用有所改善,但我们的文献分析揭示了阻碍创新止痛药物整合的挑战。我们探索神经免疫调节剂、肽干扰剂和新型神经递质类似物在寻求有效止痛方面的潜力,为无阿片类麻醉的未来铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63d9/11935147/cf0774550abc/gr1.jpg

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