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艾司氯胺酮的药理学特性及其在小儿麻醉中的应用进展

金宝伟 郭建荣

中国临床药理学与治疗学2024,Vol.29Issue(3):328-333,6.
中国临床药理学与治疗学2024,Vol.29Issue(3):328-333,6.DOI:10.12092/j.issn.1009-2501.2024.03.011

艾司氯胺酮的药理学特性及其在小儿麻醉中的应用进展

Pharmacological characteristics of esketamine and its application progress in pediatric anesthesia

金宝伟 1郭建荣2

作者信息

  • 1. 绍兴市人民医院麻醉科,绍兴 312000,浙江
  • 2. 海军军医大学附属公利医院麻醉科,上海 200135
  • 折叠

摘要

Abstract

Esketamine is an antagonist of the N-methyl-D-aspartate(NMDA)receptor and exerts an-tianxiety,hypnotic,sedative,and analgesic effects by interacting with NMDA receptors,opioid recep-tors,M-choline receptors,monoamine receptors,adenosine receptors,and other purine receptors.As the more potents isomer of ketamine,it is about twice as potent as ketamine.Compared with ketamine,esketamine has the characteristics of rap-id onset and metabolism,strong analgesia,slight respiratory depression,rapid recovery of cognitive function,and low incidence of psychiatric side ef-fects.It has become a new choice of pediatric anes-thesia drugs.This article reviews the pharmacologi-cal properties of esketamine and its recent applica-tion in pediatric anesthesia,and provides reference for the safe use of esketamine in pediatric perioper-ative period.

关键词

艾司氯胺酮/镇静/镇痛/小儿

Key words

esketamine/sedative/analgesia/pe-diatric

分类

医药卫生

引用本文复制引用

金宝伟,郭建荣..艾司氯胺酮的药理学特性及其在小儿麻醉中的应用进展[J].中国临床药理学与治疗学,2024,29(3):328-333,6.

基金项目

浙江省公益技术应用研究资助项目(LGD22H160011) (LGD22H160011)

中国临床药理学与治疗学

OA北大核心CSTPCD

1009-2501

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