艾司氯胺酮为主的阿片类药物节省麻醉方案在巴马小型猪机器人辅助肾切除术中的效果

Effects of esketamine-based opioid-sparing anesthesia protocol in Bama miniature pigs undergoing robot-assisted nephrectomy.

作者信息

Zhou Meiyan, Li Weihua, Sun Jia, Zhang Yuhan, Zhou Fan, Ren Ying, Qi Yu, Wang Liwei

机构信息

The Xuzhou Clinical College of Xuzhou Medical University, Jiangsu, China.

Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, 221009, Jiangsu, China.

出版信息

Sci Rep. 2025 May 25;15(1):18185. doi: 10.1038/s41598-025-03296-x.

Abstract

The safety and efficacy of the esketamine-based opioid-sparing anesthesia protocol, though validated, are understudied in robotic surgeries. This study used robot-assisted nephrectomy in Bama miniature pigs to explore its application. Six healthy Bama miniature pigs were randomly assigned to esketamine group (K) and control group (C). In Group K, based on the anesthetics of Group C, 0.5 mg/kg esketamine was used for anesthesia induction, and anesthesia was maintained with 0.5 mg/kg·h esketamine. Results showed Group K exhibited more stable hemodynamics intraoperatively, particularly at 5 min after the start of surgery and at the time of extubation (p < 0.05). Dosages of propofol (250 ± 8.7 mg vs. 347 ± 6.1 mg), sufentanil (12.3 ± 0.6 µg vs. 25 ± 1.0 µg) and remifentanil (498.3 ± 27.5 µg vs. 828.3 ± 20.2 µg) in group K were significantly reduced(p < 0.001). Recovery times for eyelid reflex (22.0 ± 2.0 min vs. 28.0 ± 2.6 min), extubation (24.7 ± 2.5 min vs. 32.3 ± 2.5 min), and righting reflex (37.7 ± 2.5 min vs. 48.7 ± 5.5 min) were significantly shorter in group K (p < 0.05). In conclusion, the esketamine-based opioid-sparing anesthesia protocol can be safely and effectively used in Bama miniature pigs undergoing robot-assisted nephrectomy.

摘要

尽管基于艾司氯胺酮的阿片类药物节省麻醉方案的安全性和有效性已得到验证,但在机器人手术中的研究仍不充分。本研究采用巴马小型猪的机器人辅助肾切除术来探索其应用。将6只健康的巴马小型猪随机分为艾司氯胺酮组(K组)和对照组(C组)。在K组中,在C组麻醉剂的基础上,使用0.5mg/kg艾司氯胺酮进行麻醉诱导,并以0.5mg/kg·h的艾司氯胺酮维持麻醉。结果显示,K组术中血流动力学更稳定,尤其是在手术开始后5分钟和拔管时(p<0.05)。K组丙泊酚(250±8.7mg vs. 347±6.1mg)、舒芬太尼(12.3±0.6μg vs. 25±1.0μg)和瑞芬太尼(498.3±27.5μg vs. 828.3±20.2μg)的用量显著减少(p<0.001)。K组的眼睑反射恢复时间(22.0±2.0分钟 vs. 28.0±2.6分钟)、拔管时间(24.7±2.5分钟 vs. 32.3±2.5分钟)和翻正反射恢复时间(37.7±2.5分钟 vs. 48.7±5.5分钟)明显更短(p<0.05)。总之,基于艾司氯胺酮的阿片类药物节省麻醉方案可安全有效地用于接受机器人辅助肾切除术的巴马小型猪。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b39/12104332/d1147d73249a/41598_2025_3296_Fig1_HTML.jpg

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