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椎管内应用阿片类药物研究进展
引用本文:黄佳佳,汪正平. 椎管内应用阿片类药物研究进展[J]. 国际麻醉学与复苏杂志, 2009, 30(6). DOI: 10.3760/cma.j.issn.1673-4378.2009.06.020
作者姓名:黄佳佳  汪正平
作者单位:上海交通大学附属第一人民医院麻醉科,200080;上海交通大学附属第一人民医院麻醉科,200080
摘    要:椎管内应用阿片类药物因为其诸多优点近年来在临床上应用广泛.新的药物和给药方法层出不穷.然而,对于阿片类药物在椎管内的作用机制、分布、头向移动、最佳剂量及长期给药的优缺点均尚存争议.

关 键 词:阿片  椎管  镇痛

Advance in intravertebral administration of opioids
HUANG Jia-jia,WANG Zheng-ping. Advance in intravertebral administration of opioids[J]. international journal of anesthesiology and resuscitation, 2009, 30(6). DOI: 10.3760/cma.j.issn.1673-4378.2009.06.020
Authors:HUANG Jia-jia  WANG Zheng-ping
Abstract:Intravertebral administration of opioids has become more and more popular in clinical practice for its advantages. New drugs and new administration ways are coming out one after other. However, there are still controversies on the mechanism with that opioid acts on spinal cord, its distribution within epidural or intrathecal space, rostral spread and optimal dose. Liposolubility is the extremely important factor to affect the efficacy of opioids which mostly depends on its biologic nature. However, the effect of opioids may sometimes changes in case of combined administration with local anesthetics, or with the different administration way.
Keywords:Opioid  Intrathecal administration  Analgesia
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