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蝶腭神经节刺激治疗脑血管缺血

Sphenopalatine ganglion stimulation for the treatment of cerebrovascular ischemia.

作者信息

Marquez-Romero Juan Manuel, Sánchez-Ramírez Karen Itzel

机构信息

Department of Neurology, Hospital General de Zona #2, IMSS, OOAD Aguascalientes, Av. los Conos No. 102, 20190, Aguascalientes, AGS, Mexico.

Facultad de Medicina, Universidad Autónoma de Sinaloa, C. Sauces, s/n, 80019, Culiacán, SIN, Mexico.

出版信息

Clin Auton Res. 2025 Feb;35(1):31-43. doi: 10.1007/s10286-024-01085-6. Epub 2024 Dec 18.

DOI:10.1007/s10286-024-01085-6
PMID:39692954
Abstract

PURPOSE

The parasympathetic effects of the sphenopalatine ganglion (SPG) on the cerebral vasculature provide a compelling rationale for its therapeutic application in cerebrovascular ischemia. In recent years, attempts have been made to stimulate the SPG to achieve beneficial effects on cerebral circulation.

METHODS

This review synthesizes the available publications on SPG stimulation. It critically evaluates the evidence from preclinical studies and clinical trials to assess its potential as a treatment for acute cerebrovascular disorders and outlines aspects that still require more study.

RESULTS

The medical literature provides consistent evidence of the significant effects of stimulating the SPG on cerebrovascular circulation. In addition, considerable evidence supports the therapeutic role of SPG stimulation in patients with cerebral ischemia.

CONCLUSION

Given the current understanding, future research could explore the potential of SPG stimulation as a non-reperfusion intervention to improve long-term outcomes for individuals with ischemic cerebrovascular conditions.

摘要

目的

蝶腭神经节(SPG)对脑血管系统的副交感神经作用为其在脑血管缺血治疗中的应用提供了令人信服的理论依据。近年来,人们尝试刺激SPG以对脑循环产生有益影响。

方法

本综述综合了关于SPG刺激的现有出版物。它严格评估了来自临床前研究和临床试验的证据,以评估其作为急性脑血管疾病治疗方法的潜力,并概述了仍需更多研究的方面。

结果

医学文献提供了一致的证据,证明刺激SPG对脑血管循环有显著影响。此外,大量证据支持SPG刺激在脑缺血患者中的治疗作用。

结论

基于目前的认识,未来的研究可以探索SPG刺激作为一种非再灌注干预措施的潜力,以改善缺血性脑血管疾病患者的长期预后。

相似文献

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Sphenopalatine ganglion stimulation for the treatment of cerebrovascular ischemia.蝶腭神经节刺激治疗脑血管缺血
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本文引用的文献

1
Sphenopalatine ganglion stimulation: a comprehensive evaluation across diseases in randomized controlled trials.蝶腭神经节刺激:随机对照试验中对多种疾病的综合评估
Front Neurol. 2024 May 15;15:1352145. doi: 10.3389/fneur.2024.1352145. eCollection 2024.
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Acute Ischemic Stroke in the Clinic and the Laboratory: Targets for Translational Research.临床与实验室中的急性缺血性脑卒中:转化研究的靶点。
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Capsaicin for Cerebral Perfusion Augmentation: A Randomized Open-Label Trial.
辣椒素用于增强脑灌注:一项随机开放标签试验。
Stroke. 2024 Apr;55(4):e112-e114. doi: 10.1161/STROKEAHA.123.046045. Epub 2024 Mar 8.
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Mechanical Thrombectomy for Large Ischemic Stroke: A Systematic Review and Meta-analysis.机械取栓治疗大面积缺血性脑卒中:系统评价和荟萃分析。
Neurology. 2023 Aug 29;101(9):e922-e932. doi: 10.1212/WNL.0000000000207536. Epub 2023 Jun 5.
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Prediction and outcomes of cerebral vasospasm in ischemic stroke patients receiving anterior circulation endovascular stroke treatment.接受前循环血管内卒中治疗的缺血性卒中患者的脑血管痉挛预测和结局。
Eur Stroke J. 2023 Sep;8(3):684-691. doi: 10.1177/23969873231177766. Epub 2023 May 30.
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Neuroprotective Strategies for Ischemic Stroke-Future Perspectives.缺血性脑卒中的神经保护策略——未来展望。
Int J Mol Sci. 2023 Feb 22;24(5):4334. doi: 10.3390/ijms24054334.
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The role of the autonomic nervous system in cerebral blood flow regulation in stroke: A review.自主神经系统在脑卒中患者脑血流调节中的作用:综述。
Auton Neurosci. 2023 May;246:103082. doi: 10.1016/j.autneu.2023.103082. Epub 2023 Feb 27.
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Promising Cerebral Blood Flow Enhancers in Acute Ischemic Stroke.急性缺血性脑卒中的有前景的脑血流增强剂。
Transl Stroke Res. 2023 Dec;14(6):863-889. doi: 10.1007/s12975-022-01100-w. Epub 2022 Nov 17.
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Cerebral Vasospasm: Practical Review of Diagnosis and Management.脑动脉痉挛:诊断与治疗实用综述。
Rev Recent Clin Trials. 2023;18(1):12-18. doi: 10.2174/1574887117666220810121048.
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Therapeutic Induction of Collateral Flow.治疗性诱导侧支循环。
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