国际麻醉学与复苏杂志   2025, Issue (5): 0-0
    
麻醉与生理活动交互影响及其生物学机制
钟海星, 董海龙1()
1.空军军医大学第一附属医院
The interactions and underlying mechanisms of general anesthesia and physiological functions
 全文:
摘要:

全身麻醉通过作用于中枢神经系统,诱导了可逆性意识消失,每年造福着数以亿计的手术患者。然而,全麻药物直接作用于中枢神经系统,也可能调控着各种生理功能,导致了围术期脑功能相关并发症的发生,使围术期死亡率高居不下。既往研究主要关注手术麻醉对围术期认知、情绪等高级脑功能的影响及机制,但全身麻醉对其它重要生理功能的影响及其背后的机制探讨较少。本文系统综述了全身麻醉对睡眠节律、体温变化以及进食和能量代谢的影响及其潜在神经环路及分子机制,为从其他角度理解麻醉与神经生理活动的交互提供新视野。

关键词: 全身麻醉,围术期睡眠障碍,围术期低体温,禁食
Abstract:

Every year, millions of surgical patients benefit from general anesthesia, which acts on the central nervous system (CNS) to induce reversible loss of consciousness. However, general anesthetics also modulate other physiological activities through the CNS, increasing the risk of perioperative mortality and complications associated with brain functions. The influences of general anesthesia in perioperative cognition, emotion, and other advanced brain functions are gaining increasing attentions. Unfortunately, little is known about the mechanisms of general anesthetics on other significant physiological functions. Here, we have systemically reviewed the clinical and experimental researches on perioperative sleep disturbance, perioperative hypothermia and fasting, in order to give a comprehensive understanding of the interactions of general anesthesia and the intrinsic physiological functions, including sleep and circadian, body temperatures, as well feeding and energy metabolism.

Key words: General Anesthesia, Perioperative sleep disturbance, Perioperative hypothermia, Fasting