脑血流的循环和日间调节大脑血流
Alastair J S Webb1, Elizabeth B Klerman1,2,3,4, Emiri T Mandeville5
1Department of Clinical Neurosciences, Wolfson Centre for Prevention of Stroke and Dementia, University of Oxford, United Kingdom (A.J.S.W.).
循环节律影响大脑血液流动,每天影响中风风险. 了解这些变异是预防中风的关键,尽管大脑血管调节需要更多的研究.
科学领域:
- 神经学 神经学
- 心血管科学 心血管科学
- 时间生物学 时间生物学
背景情况:
- 大脑血流 (CBF) 呈现白天变化,影响中风风险.
- 脑血管功能受全身血动力学和脑血管机制的调节.
- 这些变化与引发中风或损害补偿反应的因素有关.
研究的目的:
- 审查关于CBF及其调节机制的昼夜和昼夜变化的证据.
- 确定有助于日间中风风险变化的全身血液动力学和脑血管因素.
- 突出研究的差距,了解大脑血管调节在白天波动期间.
主要方法:
- 对CBF的昼夜和昼夜变化研究的文献综述.
- 分析系统性血液动力学因素 (心率,心脏输出,血压).
- 评估大脑血管调节机制 (反应性,自我调节,神经血管合).
主要成果:
- 白天血压的变化,包括夜间的最低点和早晨的升,已经得到了充分的证据.
- 关于大脑血管补偿机制的昼夜和昼夜变化的证据有限.
- 系统性血液动力学因素与日间中风风险变化有显著关系.
结论:
- 循环和白天CBF的变化是中风风险的关键决定因素.
- 需要进一步的研究来阐明大脑血管调节机制在白天中风风险中的作用.
- 了解这些时间模式对于制定有效的中风预防策略至关重要.
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