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人工冬眠技术在急性脑损伤中的应用

Application of artificial hibernation technology in acute brain injury.

作者信息

Wang Xiaoni, Chen Shulian, Wang Xiaoyu, Song Zhen, Wang Ziqi, Niu Xiaofei, Chen Xiaochu, Chen Xuyi

机构信息

Graduate School of Tianjin University of Traditional Chinese Medicine, Tianjin, China.

Characteristic Medical Center of People's Armed Police Forces, Tianjin, China.

出版信息

Neural Regen Res. 2024 Sep 1;19(9):1940-1946. doi: 10.4103/1673-5374.390968. Epub 2023 Dec 15.

Abstract

Controlling intracranial pressure, nerve cell regeneration, and microenvironment regulation are the key issues in reducing mortality and disability in acute brain injury. There is currently a lack of effective treatment methods. Hibernation has the characteristics of low temperature, low metabolism, and hibernation rhythm, as well as protective effects on the nervous, cardiovascular, and motor systems. Artificial hibernation technology is a new technology that can effectively treat acute brain injury by altering the body's metabolism, lowering the body's core temperature, and allowing the body to enter a state similar to hibernation. This review introduces artificial hibernation technology, including mild hypothermia treatment technology, central nervous system regulation technology, and artificial hibernation-inducer technology. Upon summarizing the relevant research on artificial hibernation technology in acute brain injury, the research results show that artificial hibernation technology has neuroprotective, anti-inflammatory, and oxidative stress-resistance effects, indicating that it has therapeutic significance in acute brain injury. Furthermore, artificial hibernation technology can alleviate the damage of ischemic stroke, traumatic brain injury, cerebral hemorrhage, cerebral infarction, and other diseases, providing new strategies for treating acute brain injury. However, artificial hibernation technology is currently in its infancy and has some complications, such as electrolyte imbalance and coagulation disorders, which limit its use. Further research is needed for its clinical application.

摘要

控制颅内压、促进神经细胞再生和调节微环境是降低急性脑损伤死亡率和致残率的关键问题。目前缺乏有效的治疗方法。冬眠具有低温、低代谢和冬眠节律等特点,对神经、心血管和运动系统具有保护作用。人工冬眠技术是一种通过改变机体代谢、降低机体核心温度,使机体进入类似冬眠状态来有效治疗急性脑损伤的新技术。本文综述了人工冬眠技术,包括亚低温治疗技术、中枢神经系统调节技术和人工冬眠诱导技术。在总结人工冬眠技术在急性脑损伤方面的相关研究后,研究结果表明,人工冬眠技术具有神经保护、抗炎和抗氧化应激作用,表明其在急性脑损伤中具有治疗意义。此外,人工冬眠技术可以减轻缺血性中风、创伤性脑损伤、脑出血、脑梗死等疾病的损伤,为治疗急性脑损伤提供了新策略。然而,人工冬眠技术目前尚处于起步阶段,存在一些并发症,如电解质紊乱和凝血障碍等,限制了其应用。其临床应用还需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04fd/11040302/7d4fcab8448c/NRR-19-1940-g001.jpg

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