摘要
近年来无症状脑梗死受到了广泛的关注,成为了老年化社会的热门话题。无症状脑梗死(silent brain infarction, SBI),或称为“静止性”或“隐匿性”脑梗死,是指患者没有明确的脑卒中或TIA的既往病史,但在头颅CT或MRI检查时发现有与脑血管分布一致的脑梗死灶或脑软化灶,而临床上没有与病灶相关的神经功能缺损的症状和体征。SBI在人群中患病率为8%~28%不等,其危险因素与其他类型的脑梗死相同,但有一些特殊因素值得重视,在进展过程中可能有症状性脑梗死、认知功能减退、抑郁状态等。多项研究中SBI是否进行脑血管二级预防仍然存在争议。同时,中医药历来重视“治未病”,现就SBI的中西医临床研究进行阐述。
Asymptomatic silent brain infarction has received a lot of attention in recent years and has become a hot topic in an aging society. Silent brain infarction (SBI), or “silent” or “insidious” brain infarction, is a condition in which the patient does not have a clear past history of stroke or TIA, Foci of cerebral infarction or cerebral softening consistent with the distribution of cerebral blood vessels detected on cranial CT or MRI examination and there are no clinical signs and symptoms of neurologic deficits associated with the lesion. The prevalence of SBI in the population ranges from 8% to 28%, and its risk factors are the same as those for other types of cerebral infarction. However, there are some specific factors that deserve attention, and there may be symptomatic cerebral infarction, cognitive impairment, and depressive states during progression. Whether secondary cerebrovascular prevention is performed in SBI in several studies remains controversial. At the same time, traditional Chinese medicine has always emphasized the “treatment of future diseases”, and now we are going to elaborate on the traditional Chinese medicine and western clinical research on SBI.
出处
《临床医学进展》
2024年第3期1666-1672,共7页
Advances in Clinical Medicine
