血管性认知障碍的非药物干预  

Non-pharmaceutical interventions of vascular cognitive impairment

作　　者：刘扬 李睿 陈伟红 董艳红[2] 吕佩源[2] Liu Yang, Li Rui, Chen Weihong, Dong Yanhong,Lyu Peiyuan(Graduate School, Hebei Medical University, Shijiazhuang 050017, China , Department of Neurology, Hebei General Hospital, Shijiazhuang 050051, China)

机构地区：[1]河北医科大学研究生学院,石家庄050017 [2]河北省人民医院神经内科,石家庄050051

出　　处：《中华行为医学与脑科学杂志》2018年第8期679-683,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：河北省科技计划项目（14277787D）;河北省重大医学科研课题项目（zd2013005）

摘　　要：血管性认知障碍（vascular cognitive impairment，VCI）是由脑血管疾病引起的一组从轻度认知障碍到痴呆的综合征。VCI可防可治的特点为其有效治疗带来了契机，非药物干预在其治疗中具有举足轻重的地位，逐渐成为研究热点。多种干预方法改善VCI的疗效已得到肯定，病理生理机制独具特点又彼此交又互补，协同作用亦不可小觑。现就非药物干预方法：运动疗法，认知训练，经颅刺激，针灸疗法对VCI的改善作用及其可能机制等方面进行综述，以期为VCI早预防、早治疗以及个体化干预开辟新途径。Vascular cognitive impairment（VCI） is a group of syndroms from mild cognitive impairment to dementia caused by eerebrovascluar disease.The preventable and therapeutic characteristics of VCI bring an opportunity for its effective treatment.Non-pharmaceutical interventions play a vital role on its treat- ment ,which gradually becomes a research hotspots.A variety of interventions to improve VCI have been con- finned,and the pathophysiological mechanism is unique but also complementary to each other.And their syn- ergistic action cannot be ignored.This review focuses on the research progress in the effects of non-pharma- ceutical interventions：physical activity, cognitive training, transcranial stimulation and acupuncture on VCI, and the possible mechanisms, in order to open new doors for the early detection, prevention and treatment of VCI.

关 键 词：血管性认知障碍 运动疗法 认知训练 经颅刺激 针灸疗法 

分 类 号：R749.13[医药卫生—神经病学与精神病学]