国际麻醉学与复苏杂志   2025, Issue (9): 0-0
    
β受体阻滞剂对缺血性脑卒中再灌注后损伤的保护作用研究进展
冯昌嘉, 张广海, 许维维, 田海涛1()
1.山东中医药大学第二临床医学院
Research Progress on the Protective Effects of β-Adrenergic Blockers Against Cerebral Ischemia-Reperfusion Injury in Ischemic Stroke
 全文:
摘要:

脑卒中是严重危害人类健康的常见病、多发病,具有极高的致死率和致残率,其中以急性缺血性脑卒中最为常见,该病可对脑组织及其功能造成严重损害,及时恢复脑灌注是保护神经功能的重要方法,然而缺血再灌注会对脑组织带来更为严重的损伤,因此降低缺血再灌注带来的损伤成为改善机体预后的必要措施。本文通过探讨β受体阻滞剂在抗氧化应激、减轻内质网应激反应、抑制炎症反应和改善脑血流动力学等方面的作用,进一步探究其对缺血再灌注损伤后神经功能保护作用的具体分子机制,旨在探索急性脑梗患者取栓术后促进神经功能康复的新思路。

关键词: 缺血性脑卒中;缺血再灌注损伤;β受体阻滞剂;内质网应激
Abstract:

Stroke is a prevalent and serious disease that poses significant threats to human health, characterized by high mortality and disability rates. Acute ischemic stroke (AIS) is the most common subtype, causing substantial damage to brain tissue and neural functions. While timely restoration of cerebral perfusion is crucial for protecting neural function, ischemia-reperfusion injury can exacerbate brain damage. Therefore, mitigating the adverse effects of ischemia-reperfusion is essential for improving patient outcomes. This study investigates the specific molecular mechanisms underlying the neuroprotective effects of β-blockers following ischemia-reperfusion injury, focusing on their roles in antioxidant stress response, endoplasmic reticulum stress mitigation, inflammatory response suppression, and cerebral hemodynamic improvement.The aim is to provide new insights into promoting neural recovery in patients with acute cerebral infarction following thrombectomy.

Key words: Ischemic stroke;Ischemia - reperfusion Injury;β- receptor blockers;Endoplasmic reticulum stress