国际麻醉学与复苏杂志   2015, Issue (4): 7-7
    
肢体远隔缺血预处理对肝脏缺血/再灌注损伤保护作用的研究进展
宋彦军, 杨玲1()
1.山西医科大学第一医院麻醉科
Research progress on limb remote ischemic preconditioning for the protection of hepatic ischemic/reperfusion injury
 全文:
摘要:

背景 肝脏缺血/再灌注损伤(ischemic/reperfusion injury, I/RI)是影响临床肝脏手术和肝脏移植手术术后发病率和病死率的主要因素,肢体远隔缺血预处理(limb remote ischemic preconditioning, LRIPC)可以减轻肝脏I/RI。 目的 综述LRIPC对肝脏I/RI保护作用的研究进展。 内容 LRIPC的发展、保护作用的机制、保护作用的时相及LRIPC的建模方法。 趋向 LRIPC应用于临床防治肝脏I/RI不失为一种可取的方案。

关键词: 肢体远隔缺血预处理; 肝; 缺血/再灌注损伤; 肝脏保护; 机制
Abstract:

Background Hepatic ischemic/reperfusion injury(I/RI) is a major cause of morbidity and mortality in liver surgery and liver transplant surgery, which can be alleviated by limb remote ischemic preconditioning(LRIPC). Objective To review the recent progress on the protection of hepatic I/RI with LRIPC. Content This article reviewed the evolution, mechanisms, windows of protection of LRIPC and the method to establish LRIPC model. Trend LRIPC will be a promising strategy to protect hepatic I/RI for clinical application.

Key words: Limb remote ischemic precondition; Hepatic; Ischemic/reperfusion injury; Hepatic protection; Mechanism