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缺血性脑卒中的氧化/亚硝化应激和神经炎症反应与中西药治疗研究进展
引用本文:曹姗,宋文婷,徐立,王刚,张业昊,刘建勋. 缺血性脑卒中的氧化/亚硝化应激和神经炎症反应与中西药治疗研究进展[J]. 世界科学技术-中医药现代化, 2021, 23(12): 293-299
作者姓名:曹姗  宋文婷  徐立  王刚  张业昊  刘建勋
作者单位:中国中医科学院西苑医院基础医学研究所/中药药理北京市重点实验室 北京 100091;中国中医科学院研究生院 北京 100027,中国中医科学院西苑医院基础医学研究所/中药药理北京市重点实验室 北京 100091,中国中医科学院西苑医院基础医学研究所/中药药理北京市重点实验室 北京 100091,湖北省中西医结合医院 武汉 430015,中国中医科学院西苑医院基础医学研究所/中药药理北京市重点实验室 北京 100091,中国中医科学院西苑医院基础医学研究所/中药药理北京市重点实验室 北京 100091
基金项目:国家自然科学基金委员会面上项目(82030124):血瘀证发生与演变的血小板系统生物学机制研究,负责人:刘建勋
摘    要:氧化/亚硝化应激和神经炎症反应是脑缺血再灌注损伤的关键病理过程,介导缺血性脑卒中期间的神经元损伤,血脑屏障(blood-brain barrier,BBB)损害和出血性转化。回顾目前在缺血性脑损伤中氧化/亚硝化应激与炎症反应相互作用方面的研究进展,依据其发病机制对西药相关作用靶点和中药主要药理作用进行简要概述。对比中西药治疗缺血性脑卒中的特点和临床应用情况,以期在今后的治疗中发挥其各自优势,中西药治疗并举减轻患者病痛,提高生活质量。

关 键 词:缺血性脑卒中  氧化应激  亚硝化应激  炎症反应  中药  西药
收稿时间:2020-10-26
修稿时间:2022-01-21

Research Progress of Oxidative/Nitrosative Stress and Neuroinflammatory Response in Ischemic Stroke and Treatment with Traditional Chinese and Western Medicine
Cao Shan,Song Wenting,Xu Li,Wang Gang,Zhang Yehao and Liu Jianxun. Research Progress of Oxidative/Nitrosative Stress and Neuroinflammatory Response in Ischemic Stroke and Treatment with Traditional Chinese and Western Medicine[J]. World Science and Technology—Modernization of Traditional Chinese Medicine and Materia Medica, 2021, 23(12): 293-299
Authors:Cao Shan  Song Wenting  Xu Li  Wang Gang  Zhang Yehao  Liu Jianxun
Affiliation:Key Laboratory of Pharmacology of Chinese Materia Medica, Institute of Basic Medical Sciences, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing 100091, China;Graduate School of the China Academy of Chinese Medical Sciences, Beijing 100027,China,Key Laboratory of Pharmacology of Chinese Materia Medica, Institute of Basic Medical Sciences, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing 100091, China,Key Laboratory of Pharmacology of Chinese Materia Medica, Institute of Basic Medical Sciences, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing 100091, China,Hubei Provincial Hospital of;Integrated Traditional Chinese and Western Medicin,Wuham 430015,China,Key Laboratory of Pharmacology of Chinese Materia Medica, Institute of Basic Medical Sciences, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing 100091, China,Key Laboratory of Pharmacology of Chinese Materia Medica, Institute of Basic Medical Sciences, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing 100091, China
Abstract:Oxidative/nitrosative stress and neuroinflammation are the key pathological processes of cerebral ischemia/reperfusion injury, which mediate neuronal damage, blood-brain barrier (BBB) damage and hemorrhagic transformation during ischemic stroke. We reviewed the current research progress on the interaction between oxidative/nitrosative stress and inflammatory response in ischemic brain injury, and briefly summarized the related targets of western medicine and the main pharmacological effects of traditional Chinese medicine based on its pathogenesis. We compared the characteristics and clinical application of Chinese and Western medicines in the treatment of ischemic stroke, in order to give full play to their respective advantages in future treatments. The treatment of Chinese and Western medicines simultaneously reduces the pain of patients and improves quality of life.
Keywords:Ischemic stroke  Oxidative stress  Nitrosative stress  Inflammatory  Traditional Chinese medicine  Western medicine
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