Circadian Rhythms in Anesthesia and Critical Care Medicine

Circadian Rhythms in Anesthesia and Critical Care Medicine
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麻醉和重症监护医学中的昼夜节律

DOI:
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发表时间:
2015
影响因子:
1.4
通讯作者:
T. Eckle
T. Eckle
中科院分区:
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文献类型:
--
作者:
Jason C. Brainard;Merit Gobel;K. Bartels;Benjamin K. Scott;M. Koeppen;T. Eckle

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地球的自转和与之相关的光暗交替循环是我们生理节奏的基础是人类生物学和文化的基础。然而,直到1971年,研究人员才首次开始描述昼夜节律系统的分子机制。在过去的几年中,突破性的研究已经揭示了许多影响各种临床疾病的昼夜节律基因,包括糖尿病,肥胖症,败血症,心脏缺血和心脏性猝死。手术室和重症监护室的麻醉师每天都要管理这些疾病,因为它们会显著影响患者的预后。有趣的是,镇静剂、麻醉剂和重症监护室的环境都被证明会扰乱患者的昼夜节律系统。在目前的审查中,我们将讨论如何新获得的昼夜节律的知识可能会导致临床实践和新的治疗概念的变化。
The rotation of the earth and associated alternating cycles of light and dark—the basis of our circadian rhythms—are fundamental to human biology and culture. However, it was not until 1971 that researchers first began to describe the molecular mechanisms for the circadian system. During the past few years, groundbreaking research has revealed a multitude of circadian genes affecting a variety of clinical diseases, including diabetes, obesity, sepsis, cardiac ischemia, and sudden cardiac death. Anesthesiologists, in the operating room and intensive care units, manage these diseases on a daily basis as they significantly affect patient outcomes. Intriguingly, sedatives, anesthetics, and the intensive care unit environment have all been shown to disrupt the circadian system in patients. In the current review, we will discuss how newly acquired knowledge of circadian rhythms could lead to changes in clinical practice and new therapeutic concepts.
DOI: 10.1056/nejm199903043400901
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