超性乳酸盐的临床使用 - - 目前的证据和新兴观点
Mette Glavind Bülow Pedersen1,2, Jens Hohwü Voigt1, Esben Søndergaard1,2
1Department of Clinical Medicine, Medical/Steno Aarhus Research Laboratory, Aarhus University, Aarhus N DK-8200, Denmark.
The Journal of clinical endocrinology and metabolism
|May 29, 2025
概括
高血压酸乳酸输液在神经学和心脏学中显示出治疗前景,作为替代燃料来源和信号分子. 需要进一步的大规模试验来确认有效性和安全性.
科学领域:
- 生物化学 生物化学
- 代谢科学 代谢科学
- 临床治疗学 临床治疗学
背景情况:
- 乳酸盐,传统上被视为代谢副产品,现在被认可为其作为替代燃料和信号分子的作用.
- 外源性高性乳酸注入正在获得潜在的治疗应用的关注.
研究的目的:
- 审查外源性高血压乳酸治疗的已确定的和潜在的临床用途.
- 在神经学和心脏学中检查高血压酸乳酸的治疗益处.
主要方法:
- 在PubMed和Medline进行的文献搜索.
- 使用的关键词:高酸乳酸,半摩尔酸乳酸,酸乳酸,外源乳酸.
- 包括研究高性乳酸盐溶液 (≥500 mmol/L) 的人类研究;排除了病例报告,儿科,临床前和精神病学研究.
主要成果:
- 高血压乳酸作为一种替代的大脑燃料,支持大脑高达20%的能量代谢.
- 在创伤性脑损伤中,乳酸盐治疗改善了大脑葡萄糖的可用性,降低了内压力,并增强了认知恢复.
- 在心脏环境中,乳酸注入可以增加心脏输出,中风体积和喷射率,使心力衰竭患者受益. 输液通常被很好地容忍.
结论:
- 乳酸盐正在成为超越其代谢作用的治疗剂.
- 高血压的乳酸注入在神经学和心脏学方面具有潜在的益处.
- 大规模试验是必要的,以评估疗效,优化剂量,并评估长期的安全性.
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