Hemmen Thomas M, Lyden Patrick D
Department of Neuroscience, University of California, San Diego, San Diego, CA 92103-8466, USA.
Stroke. 2007 Feb;38(2 Suppl):794-9. doi: 10.1161/01.STR.0000247920.15708.fa.
Induced hypothermia is one of the most promising neuroprotective therapies. Technological limitations and homeostatic mechanisms that maintain core body temperature have impeded the clinical use of hypothermia. Recent advances in intravascular cooling catheters and successful trials of hypothermia for cardiac arrest and neonatal asphyxia renewed interest in hypothermia for stroke, resulting in early phase clinical trials and plans for further development. This review elaborates on the clinical implications of hypothermia research in stroke and technical and logistical issues associated with the application of hypothermia.
诱导性低温是最有前景的神经保护疗法之一。维持核心体温的技术限制和体内平衡机制阻碍了低温疗法的临床应用。血管内冷却导管的最新进展以及针对心脏骤停和新生儿窒息的低温疗法的成功试验,重新激发了人们对中风低温疗法的兴趣,从而引发了早期临床试验和进一步开发计划。本文综述阐述了低温疗法在中风研究中的临床意义以及与低温疗法应用相关的技术和后勤问题。