血管性认知障碍的治疗进展

Progress in Treatment of Vascular Cognitive Impairment

血管性认知障碍是唯一可以在轻度认知障碍阶段进行有效治疗及控制的认知障碍类型,有必要对血管性轻度认知障碍加以干预,以阻止病情进展,特别是在疾病的早期阶段,准确评估和管理是治疗血管性认知障碍的主要任务。血管性认知障碍的治疗包括控制导致认知障碍的危险因素,其中主要针对目标是控制可干预危险因素,积极控制危险因素能防止认知障碍发生及延缓进展;胆碱酯酶抑制剂及美金刚可改善血管性痴呆阶段的认知功能,提高日常生活能力,改善生活质量。

Vascular cognitive impairment is the only type of cognitive impairment that can be prevented and controlled at the mild stage.It is necessary to intervene in mild vascular cognitive impairment to prevent the progression of the disease;especially in the early stage,accurate assessment and management is the main task in the treatment.The treatment includes controlling the risk factors leading to cognitive impairment,and the main objective is to control the interventional risk factors to prevent cognitive impairment and delay progress;improving cognitive function and delaying the progress of disease.For patients with vascular dementia,cholinesterase inhibitors and memantine can improve cognitive function,daily living ability and quality of life.