血管性痴呆的诊断及治疗进展

Progress on diagnosis and treatment of vascular dementia

血管性痴呆(vascular dementia,VaD)是神经科学领域的一个热点问题。血管性痴呆的本质是因脑血管性疾病引起的认知功能丧失。65岁以上人群痴呆患病率约为5%,其中Alzheimer病约占50%,VaD约占20%,Alzheimer病合并VaD占10%～20%。我国VaD的患病率为1.1%～3.0%,年发病率为5‰～9‰。本文主要介绍目前常用的几种诊断标准及治疗药物。

Vascular dementia is a hot issue in the field of neuroscience. The essence of vascular dementia is the loss of cognitive function caused by cerebrovascular disease. About 5% people over the age of 65 have dementia, in which Alzheimer＇s disease accounts for about 50%, vascular dementia accounts for about 20%, Alzheimer＇s disease combined with VaD accounts for 10%-20%. The prevalence of VaD in China is 1.1%-3.0%, the annual incidence is 5‰-9‰. This paper describes several commonly used diagnostic criteria and therapy.