医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
10期
1799-1802
,共4页
脂肪乳%布比卡因中毒%缺血/再灌注损伤%急性呼吸窘迫综合征%自然杀伤细胞
脂肪乳%佈比卡因中毒%缺血/再灌註損傷%急性呼吸窘迫綜閤徵%自然殺傷細胞
지방유%포비잡인중독%결혈/재관주손상%급성호흡군박종합정%자연살상세포
Lipid emulsion%Bupivacaine toxicity%Ischemia reperfusion injury%Acute respiratory dis-tress syndrome%Nature killer cell
临床上脂肪乳除了提供人体营养和能量外,其在非营养作用方面研究越来越多。脂肪乳对布比卡因等脂溶性药物中毒导致的心功能抑制具有解毒功能,这种机制存在脂质沉积、激活电压开放的钙通道等多种理论支持。另外,脂肪乳还有减轻缺血/再灌注损伤、减少炎性因子产生、辅助治疗急性呼吸窘迫综合征、抑制自然杀伤细胞活性和抑制肿瘤生长等多种非营养作用。
臨床上脂肪乳除瞭提供人體營養和能量外,其在非營養作用方麵研究越來越多。脂肪乳對佈比卡因等脂溶性藥物中毒導緻的心功能抑製具有解毒功能,這種機製存在脂質沉積、激活電壓開放的鈣通道等多種理論支持。另外,脂肪乳還有減輕缺血/再灌註損傷、減少炎性因子產生、輔助治療急性呼吸窘迫綜閤徵、抑製自然殺傷細胞活性和抑製腫瘤生長等多種非營養作用。
림상상지방유제료제공인체영양화능량외,기재비영양작용방면연구월래월다。지방유대포비잡인등지용성약물중독도치적심공능억제구유해독공능,저충궤제존재지질침적、격활전압개방적개통도등다충이론지지。령외,지방유환유감경결혈/재관주손상、감소염성인자산생、보조치료급성호흡군박종합정、억제자연살상세포활성화억제종류생장등다충비영양작용。
The main functions of lipid emulsion are to provide nutrition and energy .There are more and more researches about its non-nutritional functions.Lipid emulsion can reduce the inhibition of cardiac func-tion,which is the result of the toxicity of overdose of lipophilic drugs like bupivacaine.The mechanism is supported by lipid sink and other theories such as activating voltage opening of the calcium channels .Furthe-more,lipid emulsion can also reduce ischemia-reperfusion injury,decrease inflammatory cytokines,help to treat acute respiratory distress syndrome,suppress activity of natural killer cell and suppress tumor growth.