缺血性脑卒中神经保护治疗的研究进展

Advance in neuroprotective therapy for ischemic stroke

脑卒中是一种严重影响人类生命和生活质量的中枢神经系统疾病,全球死亡率排序位列第2位。目前缺血性脑卒中的临床治疗策略主要是静脉溶栓及机械取栓疗法,然而,这些治疗方法不能有效防止缺血引起的脑组织损伤与功能障碍,需要寻找能够有效防止脑缺血损伤与脑缺血-再灌注损伤的神经保护疗法。本文回顾了近年防治缺血性脑卒中后神经功能损伤药物,包括离子通道阻断剂、抗氧化剂、抗炎药物、凋亡抑制剂等的研究进展,对这些药物的特点和优劣进行分析,并总结了非药物神经保护疗法。

Stroke is a central nervous system disease that seriously affects the quality of life of the victims,with the second highest mortality among all the diseases in the world.At present,the main clinical treatment strategies for acute ischemic stroke are intravenous thrombolysis and mechanical thrombectomy,whereas these strategies do not protect patients from ischemia injury and functional disorder.Therefore,it is necessary to find neuroprotective methods to ameliorate ischemic injury and ischemic/reperfusion injury.This review summed up the current studies on the drugs which prevent and treat neurologic impairment after ischemic stroke,including ion channel blocker,antioxidant,anti-inflammatory agent,anti-apoptotic agent,analyzed the characteristics and advantages and disadvantages,and summarized several non-drug neuroprotective therapies.