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高压氧疗法在肝脏疾病中的应用。

Hyperbaric Oxygen Therapy in Liver Diseases.

机构信息

Department of Rehabilitation Medicine, The First Affiliated Hospital, Zhejiang University, Hangzhou, China.

Department of Hyperbaric Oxygen, The First Affiliated Hospital, Zhejiang University, Hangzhou, China.

出版信息

Int J Med Sci. 2018 May 22;15(8):782-787. doi: 10.7150/ijms.24755. eCollection 2018.

Abstract

Hyperbaric oxygen therapy (HBOT) is an efficient therapeutic option to improve progress of lots of diseases especially hypoxia-related injuries, and has been clinically established as a wide-used therapy for patients with carbon monoxide poisoning, decompression sickness, arterial gas embolism, problematic wound, and so on. In the liver, most studies positively evaluated HBOT as a potential therapeutic option for liver transplantation, acute liver injury, nonalcoholic steatohepatitis, fibrosis and cancer, especially for hepatic artery thrombosis. This might mainly attribute to the anti-oxidation and anti-inflammation of HBOT. However, some controversies are existed, possibly due to hyperbaric oxygen toxicity. This review summarizes the current understandings of the role of HBOT in liver diseases and hepatic regeneration. Future understanding of HBOT in clinical trials and its in-depth mechanisms may contribute to the development of this novel adjuvant strategy for clinical therapy of liver diseases.

摘要

高压氧治疗(HBOT)是一种有效的治疗选择,可以改善许多疾病的进展,特别是与缺氧相关的损伤,并且已在临床上确立为治疗一氧化碳中毒、减压病、动脉气体栓塞、有问题的伤口等疾病的广泛应用的治疗方法。在肝脏中,大多数研究积极评估 HBOT 作为肝移植、急性肝损伤、非酒精性脂肪性肝炎、纤维化和癌症的潜在治疗选择,特别是对于肝动脉血栓形成。这可能主要归因于 HBOT 的抗氧化和抗炎作用。然而,存在一些争议,可能是由于高压氧毒性所致。本综述总结了目前对 HBOT 在肝脏疾病和肝再生中的作用的认识。未来在临床试验中对 HBOT 的进一步了解及其深入的机制可能有助于为肝脏疾病的临床治疗开发这种新的辅助策略。

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