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Normobaric oxygen: a novel approach for treating chronic cerebral circulation insufficiency

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机构: [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100053, China [3]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [4]Department of Neurology, Yongxin People’s Hospital, Ji’an 343400, China [5]Department of Neurosurgery, Wayne State University School of Medicine, Detroit, MI 48201, USA [6]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
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关键词: chronic cerebral circulation insufficiency normobaric oxygen therapeutic strategy stroke clinical outcome

摘要:
Chronic cerebral circulation insufficiency (CCCI) is viewed as an alarming state induced by long-term reduction in cerebral perfusion, which is associated with neurological deficits and high risk of stroke occurrence or recurrence. CCCI accounts for a large proportion of both outpatients and inpatients with cerebrovascular diseases, while management of CCCI remains a formidable challenge to clinicians. Normobaric oxygen (NBO) is an adjuvant hyperoxygenation intervention supplied with one atmosphere pressure (1 ATA =101.325 kPa). A plethora of studies have demonstrated the efficacy of NBO on the penumbra in acute stroke. NBO has been shown to increase the oxygen pressure, raise the intracranial blood flow, protect blood-brain barrier and enhance neuroprotective effects. As similar underlying mechanisms are shared by the penumbra in stroke and the ischemic hypoxic brain tissues in CCCI, we speculate that NBO may serve as a promising therapeutic strategy for attenuating short-term symptoms or improving long-term clinical outcomes among patients with CCCI. Due to the scant research exploring the efficacy and safety of NBO for treating CCCI so far, both experimental and clinical studies are warranted to verify our hypothesis in the future.

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 4 区 老年医学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 老年医学
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出版当年[2017]版:
Q3 GERIATRICS & GERONTOLOGY
最新[2023]版:
Q2 GERIATRICS & GERONTOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

第一作者:
第一作者机构: [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100053, China [3]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
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通讯机构: [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [*1]Department of Neurology, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Beijing 100053, China [2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100053, China [3]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
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