Anesthesia, surgery, illness and Alzheimer's disease.

Anesthesia, surgery, illness and Alzheimer's disease.
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DOI:
10.1016/j.pnpbp.2012.06.011
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发表时间:
2013-12-02
影响因子:
5.6
通讯作者:
Laudansky, Krzysztof F.
Laudansky, Krzysztof F.
中科院分区:
医学2区
文献类型:
--
作者:
Eckenhoff, Roderic G.;Laudansky, Krzysztof F.

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几十年来,患者和他们的家人已经发现了手术后认知的微妙变化,直到最近才受到科学审查。通过回顾性人体研究、小型前瞻性生物标志物研究和动物实验的结合,现在很清楚麻醉和手术都会产生持久的后果,并且这些后果与正常的衰老过程和慢性神经退行性变的异常过程相互交叉。炎症级联反应很可能是这个交叉点的核心,如果得到证实,这表明一种治疗策略,以减轻脆弱的手术患者的神经病理学增强。
Patients and their families have, for many decades, detected subtle changes in cognition subsequent to surgery, and only recently has this been subjected to scientific scrutiny. Through a combination of retrospective human studies, small prospective biomarker studies, and experiments in animals, it is now clear that durable consequences of both anesthesia and surgery occur, and that these intersect with the normal processes of aging, and the abnormal processes of chronic neurodegeneration. It is highly likely that inflammatory cascades are at the heart of this intersection, and if confirmed, this suggests a therapeutic strategy to mitigate enhanced neuropathology in vulnerable surgical patients.
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