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系统炎症环路在脑卒中后认知障碍预测及治疗中的研究进展

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脑卒中后认知障碍(PSCI)是脑卒中常见的并发症,会显著增加患者的病死率,降低患者5年生存率,严重影响患者的生活质量。目前,PSCI的发病机制尚不清楚,所以缺乏有效的治疗手段。炎症是PSCI研究的热点,既往研究表明炎症标志物、炎症细胞与认知功能下降相关,但炎症如何诱发及加重PSCI仍不清楚。该综述提出PSCI发病与全身慢性炎症、肠道系统炎症、中枢神经系统炎症三者有关的理论,三者间存在梯度炎症环路,相互影响,彼此作用。PSCI系统炎症环路可能是预测和治疗PSCI的突破口。
Research progress of systemic inflammation loop in the prediction and treatment for post stroke cognitive impairment
Post stroke cognitive impairment(PSCI)is a common complication of stroke,which can sig-nificantly increase the mortality rate of patients,reduce the 5-year survival rate of patients,and seriously affect the quality of life of patients.Up to now,the pathogenesis of PSCI is still unclear,so there is a lack of effective treatment Inflammation is a hot spot in PSCI research.Previous studies have shown that inflammatory mark-ers and inflammatory cells are related to cognitive decline,but how inflammation induces and exacerbates PS-CI remains unclear.This review put forward the theory that the pathogenesis of PSCI is related to systemic chronic inflammation,intestinal system inflammation,and central nervous system inflammation.There is a gradient inflammation loop among the three,which affect each other.The systemic inflammation loop for PS-CI could be a breakthrough for predicting and treating PSCI.

Post stroke cognitive impairmentSystemic chronic inflammationIntestinal system inflammationCentral nervous inflammationInflammation loopReview

李应莉、牟君

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重庆医科大学附属第一医院神经内科,重庆 400016

卒中后认知障碍 全身慢性炎症 肠道系统炎症 中枢神经炎症 炎症环路 综述

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(11)