对心理药物的外科治疗的影响
Nezih Sertöz1, Selin Tanyeri Kayahan2, Özen Önen Sertöz3
1Department of Anesthesiology and Reanimation, Ege University Medical Faculty, İzmir, Türkiye.
Minerva anestesiologica
|August 28, 2025
概括
在手术期间使用心理药物至关重要. 大多数抗抑郁药,抗精神病药和抗焦虑药可以继续使用,但对于MAOI和兴奋剂等其他药物,需要个性化计划.
科学领域:
- 麻醉学
- 药理学
- 精神病学
背景情况:
- 心理药物被广泛使用,由于与麻醉剂的潜在相互作用,对外科护理构成风险.
- 这些药物的有效管理对于手术期间和手术后的患者安全至关重要.
研究的目的:
- 在外科手术前期对心理药物管理的现行建议进行审查.
- 讨论常见的精神药物和麻醉剂之间的潜在药物相互作用.
主要方法:
- 使用PubMed/MEDLINE和Scopus数据库进行了全面的文献搜索.
- 关于外科手术前心理药物管理的评论文章被选为叙事综合.
主要成果:
- 选择性血清素再吸收抑制剂,血清素 - 上腺素再吸收抑制剂,三环抗抑郁剂,非典型抗抑郁剂,抗精神病药物,抗情绪稳定剂和类药物通常被推继续使用.
- 单胺氧化酶抑制剂和精神刺激剂需要根据患者的病情和潜在的药物相互作用进行个性化治疗.
- 建议在重大手术前72小时停止使用.
结论:
- 建议进行多学科的,基于病例的评估,以获得最佳的外科手术前心理药物治疗.
- 麻醉师,手术团队和心理健康专业人员之间的密切合作对于患者的安全和结果至关重要.
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