无痴呆型血管性认知障碍的病因病机及证候学初步探讨

Primary Exploration on Etiology, Pathogenesis and Syndromes in Vascular Cognitive Impairment No Dementia

关键词:  血管性认知障碍  无痴呆型  病因病机  证候学

Key words:  vascular cognitive impairment(VCI)  no dementia  pathogenic factors and pathogenesis  syndromes

摘要:

随着血管性痴呆(vascular dementia,VD)研究的深入,近年来神经科学界提出了血管性认知障碍(vascularcognitive impairment,VCI)的新概念,无痴呆型血管性认知障碍(vascular cognitive impairment no dementia,VCIND)是极早期,极轻度的脑血管源性认知障碍,具有较大的隐匿性,积极诊断、治疗VCIND对预防和控制VD或其他可能产生的老年期痴呆有重要意义.目前,中医、西医都处于探索研究阶段.根据临床观察,提出了中医病证范畴以及病因病机和证候学演变的初步认识,以期能为中医药对该病的深入研究有所裨益。

Abstract:

With the thorough investigation on vascular dementia (VD),a new concept of vascular cognitive impairment(VCI)has been put forward in neuroscience in recent years. The vascular cognitive impairment no dementia(VCIND)is a very early,extremely mild cerebral vascular cognitive impairment,possessing a extremely concealed character. Active diagnosis and treatment of VCIND has significant role in controlling and preventing VD or other possible senile dementia. At present,the treatments with traditional Chinese medicine and Western medicine are all in explorative and investigative stages. According to the clinical observation,we put forward a primary recognition about the diseases category,pathogenic factors and pathogenesis and syndromes evolvement in order to give beneficial effect on the deep investigation of this diseases in TCM.