{"title":"氯胺酮非麻醉用途综述。","authors":"Abby Pribish, Nicole Wood, Arun Kalava","doi":"10.1155/2020/5798285","DOIUrl":null,"url":null,"abstract":"<p><p>Ketamine, a nonselective NMDA receptor antagonist, is used widely in medicine as an anesthetic agent. However, ketamine's mechanisms of action lead to widespread physiological effects, some of which are now coming to the forefront of research for the treatment of diverse medical disorders. This paper aims at reviewing recent data on key nonanesthetic uses of ketamine in the current literature. MEDLINE, CINAHL, and Google Scholar databases were queried to find articles related to ketamine in the treatment of depression, pain syndromes including acute pain, chronic pain, and headache, neurologic applications including neuroprotection and seizures, and alcohol and substance use disorders. It can be concluded that ketamine has a potential role in the treatment of all of these conditions. However, research in this area is still in its early stages, and larger studies are required to evaluate ketamine's efficacy for nonanesthetic purposes in the general population.</p>","PeriodicalId":7834,"journal":{"name":"Anesthesiology Research and Practice","volume":"2020 ","pages":"5798285"},"PeriodicalIF":1.6000,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152956/pdf/","citationCount":"0","resultStr":"{\"title\":\"A Review of Nonanesthetic Uses of Ketamine.\",\"authors\":\"Abby Pribish, Nicole Wood, Arun Kalava\",\"doi\":\"10.1155/2020/5798285\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Ketamine, a nonselective NMDA receptor antagonist, is used widely in medicine as an anesthetic agent. However, ketamine's mechanisms of action lead to widespread physiological effects, some of which are now coming to the forefront of research for the treatment of diverse medical disorders. This paper aims at reviewing recent data on key nonanesthetic uses of ketamine in the current literature. MEDLINE, CINAHL, and Google Scholar databases were queried to find articles related to ketamine in the treatment of depression, pain syndromes including acute pain, chronic pain, and headache, neurologic applications including neuroprotection and seizures, and alcohol and substance use disorders. It can be concluded that ketamine has a potential role in the treatment of all of these conditions. However, research in this area is still in its early stages, and larger studies are required to evaluate ketamine's efficacy for nonanesthetic purposes in the general population.</p>\",\"PeriodicalId\":7834,\"journal\":{\"name\":\"Anesthesiology Research and Practice\",\"volume\":\"2020 \",\"pages\":\"5798285\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2020-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152956/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Anesthesiology Research and Practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1155/2020/5798285\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2020/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anesthesiology Research and Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2020/5798285","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2020/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
氯胺酮是一种非选择性 NMDA 受体拮抗剂,在医学上被广泛用作麻醉剂。然而,氯胺酮的作用机制导致了广泛的生理效应,其中一些效应目前正成为治疗各种医学疾病的研究前沿。本文旨在回顾当前文献中有关氯胺酮主要非麻醉用途的最新数据。本文检索了 MEDLINE、CINAHL 和 Google Scholar 数据库,以查找与氯胺酮治疗抑郁症、疼痛综合征(包括急性疼痛、慢性疼痛和头痛)、神经系统应用(包括神经保护和癫痫发作)以及酒精和药物使用障碍相关的文章。由此可以得出结论,氯胺酮在治疗所有这些疾病方面都有潜在的作用。不过,这方面的研究仍处于早期阶段,需要进行更大规模的研究,以评估氯胺酮在普通人群中用于非麻醉目的的疗效。
Ketamine, a nonselective NMDA receptor antagonist, is used widely in medicine as an anesthetic agent. However, ketamine's mechanisms of action lead to widespread physiological effects, some of which are now coming to the forefront of research for the treatment of diverse medical disorders. This paper aims at reviewing recent data on key nonanesthetic uses of ketamine in the current literature. MEDLINE, CINAHL, and Google Scholar databases were queried to find articles related to ketamine in the treatment of depression, pain syndromes including acute pain, chronic pain, and headache, neurologic applications including neuroprotection and seizures, and alcohol and substance use disorders. It can be concluded that ketamine has a potential role in the treatment of all of these conditions. However, research in this area is still in its early stages, and larger studies are required to evaluate ketamine's efficacy for nonanesthetic purposes in the general population.