摘要
缺血性脑血管病是一种病死率及致残率相当高的脑血管疾患,分为致残性缺血性脑血管事件(disabling ischemic cerebrovascular events,DICE)和非致残性缺血性脑血管事件(non-disabling ischemic cerebrovascular events,NICE)。NICE通常不被重视,但很大比例的NICE人群处于不稳定状态,在一段时间内复发成严重的卒中,称为高危非致残性缺血性脑血管事件(high risk non-disabling ischemic cerebrovascular events,HR-NICE),而且HR-NICE后认知功能障碍是常见的并发症,严重影响患者生活质量及生存时间,因此尽早识别HR-NICE患者,积极进行综合干预具有十分重要的临床意义。本文对HR-NICE及HR-NICE所致认知障碍的定义、流行病学、临床特点、评估方法及综合干预手段进行综述,以期提高其诊断治疗水平,改善患者生存质量。
Ischemic cerebrovascular disease(ICD) is a kind of cerebral vascular diseases which has high fatality rate and disability rate.ICD is divided into disabling ischemic cerebrovascular event(DICE) and non-disabling ischemic cerebrovascular events(NICE).NICE people are usually not taken seriously,however a large proportion of them are in an unstable state and relapse into severe stroke over a period of time,which is known as high risk non-disabling cerebrovascular events(HR-NICE).Cognitive impairment caused by HR-NICE is a common complication and affects the quality of life and survival time seriously.Therefore,it is of important clinical significance to identify of HR-NICE people and intervene at early stage.This paper is to review the definition,epidemiology,clinical features,evaluation methods and comprehensive intervention methods of HR-NICE,so as to improve the diagnostic and therapeutic level as well as the survival quality of patient.
出处
《中国卒中杂志》
2017年第12期1123-1126,共4页
Chinese Journal of Stroke
关键词
高危非致残性缺血性脑血管病
认知障碍
综述
High risk non-disabling ischemic cerebrovascular events
Cognitive impairment
Review