重庆医学2024,Vol.53Issue(8) :1254-1259,1265.DOI:10.3969/j.issn.1671-8348.2024.08.025

远端缺血处理对不同器官保护作用的研究进展

Research progress in protective effects of remote ischemic conditioning on different organs

李闻朗 段光友 黄河
重庆医学2024,Vol.53Issue(8) :1254-1259,1265.DOI:10.3969/j.issn.1671-8348.2024.08.025

远端缺血处理对不同器官保护作用的研究进展

Research progress in protective effects of remote ischemic conditioning on different organs

李闻朗 1段光友 1黄河1
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作者信息

  • 1. 重庆医科大学附属第二医院麻醉科,重庆 400010
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摘要

远端缺血处理(RIC)是一种通过对肢体进行短暂的缺血/再灌注从而发挥全身性器官保护作用的手段,以减轻更严重的缺血事件造成的损伤.RIC可以应用于缺血事件前、中、后阶段;其中缺血前的应用相对较多,称为远端缺血预处理(RIPC).研究表明,RIC有相当大的临床转化价值,其特点是无创、经济、安全和有效,虽然具体机制有待继续探索,但其保护靶点相当广泛.尤其是对于心脏,RIC几乎对所有病理情况下的心脏都具有良好的保护作用.不仅如此,RIC对神经系统、肺、肝和肾都有一定程度的保护效果.基于此,该文综述了RIC在不同器官中的保护作用及其可能机制.

Abstract

Remote ischemic conditioning (RIC) is a means of playing the systemic organ protective effect by transient ischemia/reperfusion of the limb,thus reduces the damage caused by more severe ischemic events.RIC can be applied before,during and after ischemic events;among them,the application before ische-mia is relatively more,which is called the remote ischemic preconditioning (RIPC).Researches have shown that RIC has considerable clinical translation value characterizing by non-invasion,economy,safety and effect. Although the specific mechanism needs to continue to be explored,but its protective targets are quite exten-sive.Especially for the heart,RIC seems to have favorable protective effects on the heart under almost all pathological conditions.Moreover,RIC has a certain degree of protective effect on the nervous system,lungs,livers and kidneys.Based on this,this article reviews the protective effects of RIC in different organs and its possible mechanisms.

关键词

远端缺血预处理/远端缺血处理/器官保护/缺血/再灌注损伤/综述

Key words

remote ischemic preconditioning/remote ischemic conditioning/organ protection/ischemia/reperfusion injury/review

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基金项目

国家重点研发计划(2018YFC2001800)

出版年

2024
重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
参考文献量44
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