血管性痴呆的研究进展  

Research Progress on Vascular Dementia

作　　者：贺杰 赵永华[1] HE Jie;ZHAO Yonghua(Department of Tuina,The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Province,Hefei 230000,China)

机构地区：[1]安徽中医药大学第一附属医院推拿科,安徽合肥230000

出　　处：《中国中医药现代远程教育》2024年第7期84-87,共4页Chinese Medicine Modern Distance Education of China

基　　金：安徽省科技攻关计划【No.1804h08020255】。

摘　　要：血管性痴呆(VaD)是因脑卒中后大脑血液供应减少引起脑细胞缺血缺氧,从而出现严重认知功能障碍的疾病。VaD是一种可以预防的病症,但因其病因复杂、诊断困难的特点,使得其在神经科学和老年医学领域中占据较高的地位。目前在治疗上,现代医学主要采取口服多奈哌齐等药物控制血管性危险因素以及改善认知功能等(非)药物治疗方案;中医学则通过望闻问切达到对疾病的整体了解,并根据辨证论治对不同个体采取不同的中医特色治疗措施。文章对VaD发病相关因素、发病机制和中西医治疗方案进行综述。Vascular dementia is a disease in which brain cells are ischemia and hypoxia due to reduced blood supply to the brain after stroke,resulting in severe cognitive dysfunction.VaD is a preventable dementia condition,but the complex etiology and difficult diag-nosis make the study of VaD occupy a high position in the field of neuroscience and geriatrics.At present,modern medicine mainly adopts drugs such as oral donepezil to control vascular risk factors and non-drug treatment programs such as improving cognitive func-tion.Traditional Chinese medicine achieves a holistic understanding of the disease through inspection,auscultation,inquiry,and pal-pation,and adopts different traditional Chinese medicine characteristic treatment measures for different individuals according to treat-ment based on pattern differentiation.In this paper,the factors associated with the pathogenesis of VaD,the pathogenesis and the treat-ment options of traditional Chinese and Western medicine were reviewed.

关 键 词：呆病 血管性痴呆 发病机制 中西医结合疗法 辨经刺井 

分 类 号：R277.7[医药卫生—中医学]