首页|补阳还五汤通过调节炎症因子防治血管性痴呆的研究进展

补阳还五汤通过调节炎症因子防治血管性痴呆的研究进展

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血管性痴呆(VD)是一种由多种脑血管疾病引起的临床综合征,包括缺血性、出血性及急性和慢性缺氧性脑血管病,导致脑功能受损,从而影响患者认知能力、日常生活和工作能力.血管性痴呆是一种可预防、可逆的痴呆形式,是仅次于阿尔茨海默病的第二常见痴呆症病因.目前,尚不清楚血管性痴呆的相关发病机制,还没有明确的治疗方法;但其发病可能与神经炎症、氧化应激、神经元损伤和脑白质病变等有关,其主要的危险因素包括遗传因素、高胆固醇血症、糖尿病、高血压等.神经炎症反应在脑缺血继发性脑损伤过程中发挥主要作用,炎症因子导致炎症级联反应加重神经系统的损伤.抑制炎症通路减少炎症因子的表达能改善血管性痴呆患者和动物模型的症状,表明神经炎症在血管性痴呆发病机制中可能发挥重要作用.本文通过总结近年相关文献从补阳还五汤作用于炎症相关因子角度进行探讨,主要从补阳还五汤治疗血管性痴呆的药理作用、炎症因子水平与血管性痴呆的关系、补阳还五汤通过调控炎症因子水平防治血管性痴呆方面进行综述.
Research progress on Buyang Huanwu Decoction in preventing and treating vascular dementia by regulating inflammatory factors
Objective Vascular dementia(VD)is a clinical syndrome caused by various cerebrovascular diseases,including ischemic,hemorrhagic,and acute and chronic hypoxic cerebrovascular diseases,leading to impaired brain function and affecting patients'cognitive ability,daily life,and work abilities.Vascular dementia is a preventable and reversible form of dementia,second only to Alzheimer's disease as the second common cause of dementia.At present,the relevant pathogenesis of vascular dementia is not clear,and there is no clear treatment method.However,its pathogenesis may be related to neuroinflammation,oxidative stress,neuronal damage and white matter lesions.Its main risk factors include genetic factors,hypercholesterolemia,diabetes,hypertension,etc.Neuroinflammatory response plays a major role in the process of secondary brain injury caused by cerebral ischemia,and inflammatory factors lead to an inflammatory cascade reaction that exacerbates damage to the nervous system.Inhibiting the inflammatory pathway and reducing the expression of inflammatory factors can improve the symptoms of vascular dementia patients and animal models,indicating that neuroinflammation may play an important role in the pathogenesis of vascular dementia.This article explores the effects of Buyang Huanwu Decoction on inflammatory factors from the perspective of summarizing relevant literature in recent years.It mainly reviews the pharmacological effects of Buyang Huanwu Decoction on treating vascular dementia,the relationship between inflammatory factor levels and vascular dementia,and the prevention and treatment of vascular dementia by regulating inflammatory factor levels.

Buyang Huanwu Decoctionvascular dementiainflammationpharmacological actionclinical research

刘彦宏、丛树园、武凤、赵克武、董晓红、张宁、刘斌

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黑龙江中医药大学基础医学院,黑龙江哈尔滨 150040

云南中医药大学基础医学院,云南昆明 154002

黑龙江中医药大学佳木斯学院,黑龙江哈尔滨 150040

黑龙江中医药大学药学院,黑龙江哈尔滨 150040

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补阳还五汤 血管性痴呆 炎症 药理作用 临床研究

黑龙江省中医药管理局课题基金资助项目黑龙江中医药大学校基金资助项目

ZHY2020872017xy

2024

中国临床药理学杂志
中国药学会

中国临床药理学杂志

CSTPCD北大核心
影响因子:1.91
ISSN:1001-6821
年,卷(期):2024.40(5)
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