脑血管性痴呆危险因素的临床分析

Clinical Analysis of Risk Factors for Brain Vascular Dementia

目的探讨脑血管性痴呆(vascular dementia,VD)的相关危险因素,制定相应的措施,预防VD的发生。方法收集我科3年来收治的VD患者共86例,回顾性分析患者的临床资料,多因素分析进行比较。结果高血压病、冠心病、糖尿病、高脂血症及吸烟、饮酒史均与VD发病相关,早期监控和治疗可控性的血管性因素有助于防止VD的发生。脑萎缩、脑白质疏松为VD的主要影象学改变,大灶脑梗死的痴呆发生率高。结论防治血管性痴呆,主要是防治危险因素及脑血管病的发生和发展。早期诊治,进行有效干预,可延缓和预防血管性痴呆的发生。

Objective To explore cerebral vascular dementia （vascular dementia, VD） of the associated risk factors, formulate corresponding measures to prevent the occurrence of VD. Method Collect 86 cases with VD patients were treated for the last three years in our department, with retrospectively analyzed the clinical data of patients, multi-factor analysis comparison. Result Hypertension, coronary heart disease, diabetes, hyperlipidemia and history of smoking and drinking are associated with the onset of VD, early monitoring and treatment of vascular controllable factors helps to prevent the occurrence of VD. Brain atrophy and cerebral white matter loose for VD were the main imaging changes, geo-thermal high incidence of cerebral infarction dementia. Conclusion Prevention and treatment of vascular dementia, mainly is the prevention and control of risk factors and the occurrence and development of cerebrovascular disease. Early diagnosis and treatment, with effective intervention can delay and prevent the occurrence of vascular dementia.