痴呆能预防吗？存在可控的危险因素，但采取针对性的公众卫生措施尚无依据
Can dementia be prevented？ Modifiable risk factors exist, but targeted public health pI＂ogrammes are not yet warranted
摘要
认知功能下降和痴呆不仅对人类健康构成重大威胁，也是家庭及社会的负担，据估计，其发病率在全球范围内将有所增加^1。由于缺乏有效的治疗措施，采取能够防止或延缓痴呆发生的预防措施十分必要。但是在此之前，我们应确定需要干预的因素及干预人群。
参考文献8
-
1Kalaria RN, Maestre GE, Afizaga R, Fried.land RP, Galasko D, Hall K, et al. Alzheimer' s disease and vascular dementia in developing countries: prevalence, management, and risk factors. Lancet Neurol 2008 ;7:812-26.
-
2Ritchie K, Carriere I, Ritchie CW, Bert C, Artero S, Ancelin ML. Designing prevention programmes to reduce incidence of dementia: prospective cohort study of modifiable risk factors. BMJ 2010;341 :c3885.
-
3Stevens J, Cai J, Pamuk ER, Wiffiamson DF, Thun MJ, Wood JL. The effect of age on the association between body-mass index and mortality. N Engl J Med 1998 ;338 : 1-7.
-
4Lewington S, Clarke R, Qizilbnsh N, Peto R, Collins R. age-speeifie relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one minion adults in 61 prospective studies, lancet 2002; 360 : 1903-13.
-
5Hernan MA, Alonso A, Logroscino G, Cigarette smoking and dementia: potential selection bias in the elderly. Epidemiology 2008;19:448-50.
-
6Van Vliet P, Westendorp R, van Heemst D, de Craen A, 0leksik A. Cognitive decline precedes late-life longitudinal changes in vascular risk factors. J Neurol Neurosurg Psychiatry2010; published online 11 Jane.
-
7Meyer MR, Tsehataz IT, Norton MC , Welsh-Bohmer KA, Steffens DC, Wyse BW, et al. APOE genotype predicts when-not whether-one is predisposed to develop Alzheimer disease. Nat Genet 1998 ; 19:321-2.
-
8Stephan BC, Kurth T, Matt.hews FE, Brayne C, Dufouil C. Dementia risk prediction in the population,, are screening models accurate? Nat Rev Neurel 2010;6:318-26.
-
1林家驹.穴位注射治疗三叉神经痛84例[J].浙江中医杂志,2008,43(10):590-590. 被引量：5
-
2沈宇宁.微型中风,亦是健康的重大威胁[J].心血管病防治知识,2008(5):31-32.
-
3王非,廖曼,鲁铭.刺血疗法治疗偏头痛34例疗效观察[J].中医临床研究,2013,5(19):30-31. 被引量：7
-
4许东成.高血压脑病个体化治疗疗效观察[J].社区医学杂志,2010,8(21):85-86. 被引量：2
-
5胡新星,秦超.内皮祖细胞治疗缺血性脑血管病的最新研究进展[J].中风与神经疾病杂志,2013,30(6):568-570. 被引量：1
-
6于建江.滞针透刺手法治疗面瘫80例[J].四川中医,2009,27(9):105-106.
-
7侯利.针刺加TDP治疗慢性盆腔炎疗效观察[J].中国社区医师（医学专业）,2009,11(11):116-116.
-
8安宁,谢高强,武阳丰.心脑血管病主要危险因素对其发病和死亡的归因危险[J].中国慢性病预防与控制,2003,11(1):42-45. 被引量：62
-
9宋朝建.警惕焦虑障碍[J].长寿,2009(3):49-49.
-
10周俊,彭世民.针刺加火罐配合TDP冶疗网球肘50例临床观察[J].中国医学创新,2009,6(14):83-83. 被引量：2
