败血症后的急性和长期认知障碍:机制和预防
Mu-Huo Ji1, Yu-Zhu Gao1, Cui-Na Shi1
1Department of Anesthesiology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Expert review of neurotherapeutics
|August 24, 2023
概括
败血症幸存者经常面临认知障碍,原因是复杂的机制,如炎症和神经炎症. 本综述探讨了这些原因和预防或治疗败血症引起的认知功能障碍的策略.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 病理学 病理学 病理学
背景情况:
- 败血症会引发严重的宿主对感染的反应.
- 这种反应可以导致即时和持久的认知障碍.
- 与败血症相关的认知缺陷的确切原因尚未完全理解,治疗方法有限.
研究的目的:
- 审查在败血症后认知障碍背后的病理机制.
- 讨论系统性炎症,血脑屏障完整性,神经炎症和神经元功能的作用.
- 检查目前减轻败血症引起的认知缺陷的策略.
主要方法:
- 文献综述侧重于败血症引起的认知障碍的病理机制.
- 分析系统性炎症,神经炎症和线粒体功能障碍的影响.
- 综合现有和潜在的治疗干预措施.
主要成果:
- 关键因素包括系统性炎症,破坏的血脑屏障,神经炎症,线粒体功能障碍和神经元损伤.
- 包括Aβ和陶酸化等蛋白质聚合物.
- 几项干预措施在改善认知衰退方面表现有前途.
结论:
- 了解败血症引起的认知障碍需要检查多个相互连接的途径.
- 早期诊断,感染控制和血液动力学稳定性至关重要.
- 针对炎症,氧化应激和神经元健康提供治疗潜力.
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