镇静镇痛的多元化与全麻理念的更新

邓硕曾; 张金华; 张谦; 张彦丽

doi:10.3760/cma.j.cn101379-20191231-00026

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ENGLISH ABSTRACT

镇静镇痛的多元化与全麻理念的更新

作者及单位信息

出版日期： 2021 -02 -25 ·

DOI： 10.3760/cma.j.cn101379-20191231-00026

A diversification of sedation/analgesia and the update of general anesthesia idea

Authors Info & Affiliations

Deng Shuozeng

Department of Anesthesiology, Dongfang Hospital of Beijing University Chinese Medicine, Beijing City 100078, China

Zhang Jinhua

Department of Anesthesiology, Dongfang Hospital of Beijing University Chinese Medicine, Beijing City 100078, China

Zhang Qian

Department of Pharmacy, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing City 100078, China

Zhang Yanli

Department of Pharmacy, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing City 100078, China

Published： 2021 -02 -25 ·

DOI： 10.3760/cma.j.cn101379-20191231-00026

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摘要

旧的全麻分期理论已被打破，新的麻醉理念有待确立。由于镇痛镇静的多元化，麻醉用药不断推陈出新。不同作用机制的药物，如芬太尼、异丙酚和氯胺酮进入全麻药目录，向旧麻醉理论提出挑战。我们应紧跟麻醉/无痛的步伐，提出新理论，为临床精准麻醉的引领作出新贡献。

关键词：镇静;镇痛;多元化;麻醉理念;更新

ABSTRACT

The old stage theory of general anesthesia has been broken. The new concept of anesthesia is going to be established. Due to the diversification of sedation and analgesia, the anesthetic drugs are constantly innovating. Drugs with different mechanisms of action, such as fentanyl, propofol and ketamine, have entered into the general anesthetics catalog, challenging the old anesthesia theory. We should keep up with the steps of anesthesia/analgesia, propose new theories, and make new contributions to the grade of clinical precise anesthesia.

KEYWORDS： Sedation;Analgesia;Diversification;Anesthesia idea;Update

Corresponding author: Zhang Jinhua, Email: mocdef.3ab61rzauhnijgnahz

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All articles published represent the opinions of the authors, and do not reflect the official policy of the Chinese Medical Association or the Editorial Board, unless this is clearly specified.

引用本文

邓硕曾,张金华,张谦,等. 镇静镇痛的多元化与全麻理念的更新[J]. 中华疼痛学杂志,2021,17(01)：25-27.

DOI:10.3760/cma.j.cn101379-20191231-00026

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未经授权，不得转载、摘编本刊文章，不得使用本刊的版式设计。

除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。

什么是全麻？简单的回答是意识和知觉的暂时丧失，全麻或许是"全或无"的关系。但随着现代麻醉用药的多元化，使得不同受体激动或抑制作用的药物进入麻醉序列，打乱原有麻醉的概念，镇静、镇痛及肌松药可以各司其职，又相互包容，使原有全麻的定义 ^{[
1
]}催眠、镇痛、肌松和反射消失四位一体的概念遭到分解，使麻醉与无痛的理念必须更新。

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摘要
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备注信息

通信作者：张金华，Email： mocdef.3ab61rzauhnijgnahz

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