七氟醚和丙泊酚对患者术后疼痛的影响及其镇痛机制研究进展

doi:10.3969/j.issn.2095-378X.2017.02.017

Abstract

Abstract: Postoperative pain is an acute pain occurring after operation,usually as a nociceptive pain and lasting no more than seven days,and is a common clinical syptom that needs urgent treatment.It not only hurts patients,but also causes pathological and physiological changes in various systems of the body and leads to a series of complications,thus affecting prognosis.In order to find a superior maintenance of anesthesia,a lot of researchers have compared between propofol (a main intravenous sedative-hypnotic agent) and sevoflurane (a main inhaled anesthetics).After nearly a decade of research,disagreements still exist over the effect of sevoflurane inhalation for maintenance of anesthesia versus propofol intravenous anesthesia on postoperative pain. In this article,Published literatures were reviewed in this field,in an attempt to reveal possible underlying reasons.

Key words: Postoperative pain, Propofol, Sevoflurane, Analgesic mechanism

CLC Number:

R614.2

LI Dong, ZHANG Xiaoqing. Research progress on effects of sevoflurane and propofol anesthesia on postoperative pain and related analgesic mechanisms[J]. Surgical Research and New Technique, 2017, 6(2): 128-132.

References

[1] Mukherjee K,Seavell C,Rawlings E,et al.A comparison of total intravenous with balanced anaesthesia for middle ear surgery:effects on postoperative nausea and vomiting,pain,and conditions of surgery[J].Anaesthesia,2003,58(2):176-180.
[2] Cheng SS,Yeh J,Flood P.Anesthesia matters:patients anesthetized with propofol have less postoperative pain than those anesthetized with isoflurane [J].Anesth Analg,2008,106(1):264 -269.
[3] Chan A,Qiu Q,Choi SW,et al.Effects of intra-operative total intravenous anaesthesia with propofol versus inhalational anaesthesia with sevoflurane on post-operative pain in liver surgery:a retrospective case-control study[J].PLoS One,2016,11(2):e0149753.
[4] Ogurlu M,Sari S,Küçük M,et al.Comparison of the effect of propofol and sevoflurane anaesthesia on acute and chronic postoperative pain after hysterectomy[J].Anaesth Intensive Care,2014,42(3):365-370.
[5] Li M,Mei W,Wang P,et al.Propofol reduces early post-operative pain after gynecological laparoscopy[J].Acta Anaesthesiol Scand,2012,56(3):368-375.
[6] Tan T,Bhinder R,Carey M,et al.Day-surgery patients anesthetized with propofol have less postoperative pain than those anesthetized with sevoflurane[J].Anesth Analg,2010,111 (1):83-85.
[7] Hasani A,Gecaj-Gashi A,Llullaku S,et al.Postoperative analgesia in children after propofol versus sevoflurane anesthesia[J].Pain Med,2013,14(3):442-446.
[8] Cho AR,Kwon JY,Kim KH,et al.The effects of anesthetics on chronic pain after breast cancer surgery[J].Anesth Analg,2013,116(3):685-693.
[9] Fassoulaki A,Melemeni A,Paraskeva A,et al.Postoperative pain and analgesic requirements after anesthesia with sevoflurane,desflurane or propofol[J].Anesth Analg,2008,107(5):1715-1719.
[10] Oritiz J,Chang LC,Tolpin DA,et al.Randomized,controlled trial comparing the effects of anesthesiawith propofol,isoflurane,desflurane and sevoflurane on pain after laparoscopic cholecystectomy[J].Braz J Anesthesiol,2014,64(3):145-151.
[11] Pokkinen SM,Yli-Hankala A,Kalliomaki ML.The effects of propofol vs.sevoflurane on post-operative pain and need of opioid[J].Acta Anaesthesiol Scand,2014,58(8):980-985.
[12] Berrino L,Oliva P,Massimo F,et al.Antinociceptive effect in mice of intraperitoneal N-methyl-D-aspartate receptor antagonists in the formalin test[J].Eur J Pain,2003,7(2):131-137.
[13] Hama A,Woon Lee J,Sagen J.Differential efficacy of intrathecal NMDA receptor antagonists on inflammatory mechanical and thermal hyperalgesia in rats [J].Eur J pharmacol,2003,459(1):49-58.
[14] Sumikura H,Arendt-Nielsen L.MAC reduction after intrathecal coadministration of GABA(A) agonist and glutamate antagonist in rats[J].J Anesth,2003,17(2):92-97.
[15] Stabernack C,Sonner JM,Laster M,et al.Spinal N-methyl-d-aspartate receptors may contribut e to the immobilizing action of isoflurane[J].Anesth Analg,2003,96(1):102-107.
[16] 杭黎华,戴体俊,曾因明.N-甲基-D-天门冬氨酸受体与吸入麻醉药对小鼠催眠、镇痛作用的关系[J].中华麻醉学杂志,2006,26(3):269-271.
[17] Masaki E,Yamazki K,Ohno Y,et al.The anesthetic interaction between adenosine triphosphate and N-methyl-D-aspartate receptor antagonists in the rat[J].Anesth Analg,2001,92(1):134-139.
[18] Cheng G,Kendig JJ.Pre- and postsynaptic volatile anaesthetic actions on glycinergic transmission to spinal cord motor neurons[J].Br J Pharmacol,2002,136(5):673-684.
[19] 陈?,李惠萍,戴体俊,等.士的宁敏感的甘氨酸受体对吸入麻醉药催眠和镇痛作用的影响[J].中国药理学通报,2007,23(5):604-607.
[20] 闫肃,戴体俊,曾因明,等.神经元烟碱受体与异氟烷、七氟烷催眠和镇痛作用的关系[J].中国药理学通报,2008,24(3):318-322.
[21] 杭黎华,邵东华,杨映红,等.AMPA对吸入麻醉药催眠、镇痛作用的影响[J].中国药理学通报,2007,23(12):1571-1575.
[22] Wang QY,Cao JL,Zeng YM,et al.GABAA receptor partially mediated propofol-induced hyperalgesia at super spinal level and Analgesia at spinal cord level in rats[J].Acta Pharmacol Sin,2004,25(12):1619-1625.
[23] Nishiyama T,Matsukawa T,Hanaoka K.Intrathecal propofol has analgesic effects on inflammation-induced pain in rats[J].Can J Anaesth,2004,51(9):899-904.
[24] 徐龙河,张宏,朱建国.异丙酚镇痛作用机理的实验研究[J].中华麻醉学杂志,1999,19(8):494-495.
[25] Xu AJ,Duan SM,Zeng YM.Effects of intrathecal NMDA and AMPA receptors agonists or antagonists on antinociception of propofol[J].Acta Pharmacol Sin,2004,25(l):9-14.
[26] 颜明,张励才,戴体俊,等.异丙酚抑制炎症痛大鼠脊髓NOS神经元的e-Fos表达[J].生理学报,2002,54(l):60-64.
[27] 林思芳,权翔,邹亮,等.丙泊酚对机械性刺激作用脑区的影响[J].中国医学科学院学报,2012,34(3):222-227.

Research progress on effects of sevoflurane and propofol anesthesia on postoperative pain and related analgesic mechanisms

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 2

Recommended Articles

Metrics

Comments

[1]	ZHAO Yuchao, CHEN Ping, YU Deshui, CHEN Kui. Effect of sevoflurane combined with remifentanil anesthesia on stress response and early cognitive function in patients with laparoscopic hysterectomy [J]. Surgical Research and New Technique, 2019, 8(2): 109-111.
[2]	. Clinical application of a novel endoscopic mask used in aged outpatients undergoing painless gastroscopy [J]. Surgical Research and New Technique, 2016, 5(4): 271-273.