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脓毒症诱导性肌病的治疗进展(综述)

Treatment advances of sepsis‑induced myopathy (Review).

作者信息

Xue Qiuli, Zhang Deyou, Zou Jiarui, Wang Haitao, Shi Ruiyuan, Dong Lihua

机构信息

Department of Intensive Care Medicine, The First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China.

出版信息

Biomed Rep. 2024 Nov 25;22(2):19. doi: 10.3892/br.2024.1897. eCollection 2025 Feb.

Abstract

Sepsis-induced myopathy (SIM) is a muscle disease caused by multiple pathological and physiological mechanisms associated with sepsis. The pathogenesis of SIM is extremely complex and still unclear, making treatment challenging. At present, clinical treatment includes early functional exercise, respiratory muscle strength training, regulation of nutritional structure and functional electrical stimulation. Drugs targeting the regulation of the ubiquitin-proteasome system, autophagy-lysosome system, calpain and caspase activation pathways, have provided potential therapeutic targets for the treatment of muscle atrophy. Stem cell transplantation therapy brings new hope for the treatment of SIM.

摘要

脓毒症诱导的肌病(SIM)是一种由与脓毒症相关的多种病理和生理机制引起的肌肉疾病。SIM的发病机制极其复杂,目前仍不清楚,这使得治疗具有挑战性。目前,临床治疗包括早期功能锻炼、呼吸肌力量训练、营养结构调整和功能性电刺激。针对泛素-蛋白酶体系统、自噬-溶酶体系统、钙蛋白酶和半胱天冬酶激活途径调节的药物,为肌肉萎缩的治疗提供了潜在的治疗靶点。干细胞移植治疗为SIM的治疗带来了新的希望。

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