吸入麻醉药物的研究现状及最新进展
浙江大学医学院附属第二医院
吸入麻醉药物指麻醉药以气体的形式,经患者的呼吸道进入机体当中并发挥麻醉作用,其核心优势在于起效迅速、可控性高、麻醉深度易于调节等,具有理想的麻醉诱导和麻醉维持性。在全麻手术过程中,吸入麻醉药物作为诱导剂能实现快速的意识丧失及肌肉松弛,而在麻醉维持阶段,能避免出现手术应激反应。当前临床常用的麻醉药物包括异氟烷、七氟烷等,其中七氟烷因麻醉苏醒快、刺激性小而备受青睐。尽管当前我国对麻醉药物的开发和推广已取得了较大进展,但当前仍面临着挑战,尤其是近几年微创手术和门诊麻醉的增多,吸入麻醉药物将在精准医学框架下进一步优化。本文主要针对吸入麻醉药物原理,对其作用机制展开研究以及进行基于药理学特性的精准麻醉技术研究,同时分析临床中新型吸入麻醉药物的应用情况和个体化用药的效应,为今后临床麻醉方案制定作参考。
Inhalational anesthetics are drugs that enter the body in gaseous form through the patient's respiratory tract and exert an anesthetic role. Its core advantages include rapid onset, high controllability, and easy adjustment of the depth of anesthesia, with ideal effects on anesthesia induction and maintenance. In the process of general anesthesia, inhaled anesthetics can be used as an inducer to achieve rapid loss of consciousness and muscle relaxation, while during the anesthesia maintenance phase, the surgical stress response can be avoided. At present, the commonly used anesthetic drugs in clinical practice include isoflurane and sevoflurane, among which sevoflurane is favored because of quick recovery from anesthesia and less irritation. Although great progress has been made in the development and promotion of anesthetics in China, there are still challenges, especially with the growing number of minimally invasive surgeries and outpatient anesthesia cases in recent years. Inhaled anesthetics will be further optimized under the framework of precision medicine. This article mainly focuses on the principles of inhaled anesthetics, their mechanisms of action, their pharmacological characteristics and precision anesthetic technigues. At the same time, the application of new inhaled anesthetics in clinical practice and the effect of individualized medication are analyzed, so as to provide reference for the formulation of clinical anesthesia programs in the future.
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| 文章编号 | 2026-02-001(期号内编号) |
|---|---|
| 栏目 | 综述 |
| 作者 | 桑利芬 |
| 作者单位 | 浙江大学医学院附属第二医院 |
| 中图分类号 | R971.2 |
| 卷期页码 | 2026, 2(02): 1-4 |
| 发布时间 | 2026-03-15 |
| 出版时间 | 2026-03-15 |
| 引用信息 | [1]桑利芬.吸入麻醉药物的研究现状及最新进展[J].疾病预防与控制,2026,2(02):1-4. |
| 全文地址 | 在知网查看该文(kns.cnki.net) |
| 数据抓取时间 | 2026-09-22T12:21:21 |