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七氟醚:治疗中风的新契机。

Sevoflurane: an opportunity for stroke treatment.

机构信息

Brain and Nerve Research Laboratory, Department of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.

出版信息

Med Gas Res. 2024 Dec 1;14(4):175-179. doi: 10.4103/2045-9912.386952. Epub 2024 Mar 28.

Abstract

In developed countries, stroke is the leading cause of death and disability that affects long-term quality of life and its incidence is increasing. The incidence of ischemic stroke is much higher than that of hemorrhagic stroke. Ischemic stroke often leads to very serious neurological sequelae, which severely reduces the patients' quality of life and becomes a social burden. Therefore, ischemic stroke has received increasing attention. As a new type of anesthetic, sevoflurane has a lower solubility, works faster in the human body, and has less impact on the cardiovascular system than isoflurane. At the same time, studies have shown that preconditioning and postconditioning with sevoflurane have a beneficial effect on stroke. We believe that the role of sevoflurane in stroke may be a key area for future research. Therefore, this review mainly summarizes the relevant mechanisms of sevoflurane preconditioning and postconditioning in stroke in the past 20 years, revealing the bright prospects of sevoflurane in stroke treatment.

摘要

在发达国家,中风是导致死亡和残疾的主要原因,影响长期生活质量,其发病率正在上升。缺血性中风的发病率远高于出血性中风。缺血性中风常导致非常严重的神经后遗症,严重降低了患者的生活质量,成为社会负担。因此,缺血性中风受到了越来越多的关注。七氟醚作为一种新型麻醉剂,其溶解度较低,在人体内起效更快,对心血管系统的影响小于异氟醚。同时,研究表明,七氟醚预处理和后处理对中风有有益的作用。我们相信,七氟醚在中风中的作用可能是未来研究的一个关键领域。因此,本综述主要总结了过去 20 年七氟醚预处理和后处理在中风中的相关机制,揭示了七氟醚在中风治疗中的广阔前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/738f/11257182/e376aaedcaa8/MGR-14-175-g001.jpg

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