卒中后认知障碍的相关危险因素及治疗的研究进展

Research Progress on Risk Factors and Treatment Related to Cognitive Impairment after Stroke

卒中后认知障碍(post-stroke cognitive impairment, PSCI)是指在脑卒中后6个月内出现达到认知障碍诊断标准的一系列综合征,是脑卒中的主要并发症之一,影响超过三分之一的脑卒中患者,不仅影响脑卒中后患者的生活质量,也影响患者对治疗方案的依从性,威胁他们的生活质量并增加残疾和死亡的风险。其影响因素众多,这篇综述就PSCI的发病机制、危险因素和治疗方法进行概述。主要包括:年龄、教育程度、经济收入、血压、血糖等对PSCI的影响及目前常见的治疗方法。为PSCI的早期诊断及预防提供思路。

Post-stroke cognitive impairment (PSCI) refers to a series of syndromes that meet the diagnostic criteria for cognitive impairment within 6 months after stroke, and is one of the main complications of stroke, affecting more than one-third of stroke patients, not only affecting the quality of life of pa-tients after stroke, but also affecting patients’ adherence to treatment plans, threatening their quality of life and increasing the risk of disability and death. There are many factors influencing it, and this review provides an overview of the pathogenesis, risk factors, and treatment of PSCI. It mainly includes the impact of age, education, economic income, blood pressure, blood sugar, etc., on PSCI and the current common treatments. To provide ideas for the early diagnosis and prevention of PSCI.