摘要
血管性认知障碍的概念不断演变和更新,最新的定义是脑血管病变及其危险因素导致的临床卒中或亚临床血管性脑损伤,涉及至少一个认知域受损的临床综合征,涵盖了轻度认知障碍到痴呆,也包括合并阿尔茨海默病等混合性病理所致的不同程度的认知障碍。文章从流行病学、发病机制、分类、临床表现、辅助检查、诊断、预防和治疗等方面做一介绍。
The term of vascular cognitive impairment(VCI)has been constantly evolved and updated.The latest definition refers to the contribution of stroke and subclinical vascular brain injury that resulted from vascular pathology and its risk factors,to the cognitive impairment syndrome involving at least one domain,ranging from mild cognitive impairment to dementia,as well as mixed cognitive impairment,including Alzheimer′s disease.This article presents the epidemiology,etiology,pathogenesis,classification,clinical manifestations,auxiliary examination,diagnosis,prevention and treatment of VCI.
作者
罗本燕
刘萍
刘晓燕
Luo Benyan;Liu Ping;Liu Xiaoyan(Department of Neurology,the First Affiliated Hospital,College of Medicine,Zhejiang University,Hangzhou 310003,China)
出处
《中华神经科杂志》
CAS
CSCD
北大核心
2021年第3期267-271,共5页
Chinese Journal of Neurology
关键词
血管性认知障碍
分类
诊断标准
Vascular cognitive impairment
Classification
Diagnostic criteria