摘要
认知功能障碍是脑卒中引起的常见并发症之一,由卒中引起的认知功能障碍有可能发展为痴呆,卒中后认知功能障碍(PSCI)包括卒中后痴呆(PSD)和非痴呆型PSCI,这一概念更强调脑卒中和认知功能障碍的相关性。本文就PSCI的概念、常见危险因素及疾病管理作出综述。主要包括:年龄、性别、教育水平等不可逆转的人口学因素;高血压、糖尿病、脑卒中等常见血管性危险因素的预防和基础疾病的管理;倡导健康的生活方式和积极向上精神面貌;对焦虑、抑郁情绪的关注和改善等要素。以期在临床工作中重视脑卒中患者认知方面的改变,并为临床干预提供有益资料,最终使患者获益、提高生活质量。
Cognitive impairment which would be aggravated in to dementia is one of the common complications after stroke. Post-stroke cognitive impairment（PSCI） includes post-stroke dementia（PSD）and no dementia PSCI. This concept emphasizes the association between the stroke and cognitive impairment. This article reviewed the concept,risk factors and disease management of PSCI. The main elements include： demographic factor which could not be control or reverse like age,gender and education level; prevention and management of the vascular risk factors such as hypertension,diabetes,stroke and so on; a healthy lifestyle and positive mental outlook; focus on the anxiety and depression after stroke. We hope to pay more attention to the degradation of cognitive function among the patients after stroke and provide the useful information for clinical work,so that,the patients would get benefits from the article and improve the quality of their life.
作者
高媛
李红
郑彩虹
杨国华
GAO Yuan;LI Hong;ZHENG Cai-hong;YANG Guo-hua(Department of Intensive Care Unit,Tianjin Huanhu Hospital,Tianjin 300350,China)
出处
《中国城乡企业卫生》
2018年第9期59-61,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
卒中后认知功能障碍
危险因素
疾病管理
Post-stroke cognitive impairment
Risk factors
Disease management
