This invention relates to the field of
pharmaceutical technology, specifically to a
perioperative neuroprotective
anesthetic composition and its application for
ischemic stroke. The composition comprises the
active ingredient remimazolam or a pharmaceutically acceptable salt thereof, MCC950, TRO19622,
levamisole or a pharmaceutically acceptable salt thereof,
lipoic acid, and a pharmaceutically acceptable carrier, with each
active ingredient formulated in a specific
molar ratio. This composition combines stable and controllable
anesthetic effects with multi-target synergistic neuroprotective effects, adapting to the entire
perioperative anesthesia needs for
ischemic stroke. Through upstream and downstream synergistic inhibition of mitochondrial damage and the NLRP3
pyroptosis pathway, dual regulation of
perioperative sympathetic tone to stabilize cerebral
perfusion, synergistic reduction of glutamate
excitotoxicity, and enhancement of endogenous
antioxidant defense, it comprehensively blocks the core links of perioperative
ischemia-reperfusion brain injury, significantly reducing the risk of postoperative neurological deficits and
cognitive impairment. It exhibits excellent circulatory and respiratory safety, rapid awakening without affecting early postoperative
neurological function assessment.