You Position: Home > Paper
Attach importance to silent cerebral vascular disease promote screening and management in a scientific approach
( views:160, downloads:57 )
- Author:
- No author available
- Journal Title:
- Chinese Journal of Health Management
- Issue:
- 2
- DOI:
- 10.3760/cma.j.cn115624-20210125-00043
- Key Word:
- 静止性脑血管病;影像;筛查;预后
Abstract： 静止性脑血管病（SCVD），是指影像学上有脑血管病的证据，但是临床上缺乏该病灶所引起急性神经功能缺损的症状。SCVD包括无症状脑梗死（SBI）、推测为缺血来源的脑白质高信号（WMH）、脑微出血等类型。SCVD患病率是症状性脑血管病的5~10倍，成倍增加症状性的心脑血管疾病和认知功能障碍风险。SCVD主要表现为脑小血管病，要和免疫、感染、中毒和遗传性神经系统疾病作鉴别诊断。SCVD危险因素包括高血压、年龄、男性、吸烟、高同型半胱氨酸血症等，Framingham心血管危险评分可以用于SBI危险分层。目前不推荐在一般人群中筛查SCVD，在高危人群科学筛查可能具有更好的卫生经济学意义。有证据显示对高血压患者给予强化降压治疗能有效减少WMH进展，他汀治疗能减少SCVD。
- [1]蒋燕,张忠夫,罗毅,等.30250名健康体检者电子直乙结肠镜检查结果分析[J].2014,(6).
- [2]李军,徐朝,郭志强,等.免疫数值化法和免疫胶体金法粪便潜血试验临床应用比较[J].2011,(6).
- [3]Eric R. Fearon,Bert Vogelstein.A genetic model for colorectal tumorigenesis[J].1990,61(5).
- [4]Guimaraes, Denise Peixoto,Fregnani, Jose Humberto,Reis, Rui Manuel,etc.Comparison of a New-generation Fecal Immunochemical Test (FIT) With Guaiac Fecal Occult Blood Test (gFOBT) in Detecting Colorectal Neoplasia Among Colonoscopy-referral Patients[J].2019,39(1).
- [5]Bond,J.H.,Schapiro,M.,Hankey,B.F.,etc.Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths[J].2012,366(8).
- [6]Rebecca L,Siegel,Kimberly D,Miller,Ann,Goding Sauer,etc.Colorectal cancer statistics, 2020.[J].2020.
- [7]Kathryn E. Singh,Thomas H. Taylor,Chuan-Ju G. Pan,etc.Colorectal Cancer Incidence Among Young Adults in California[J].2014,3(4).
- [8]Lin, Jennifer S.,Piper, Margaret A.,Perdue, Leslie A.,etc.Screening for Colorectal Cancer Updated Evidence Report and Systematic Review for the US Preventive Services Task Force[J].2016,315(23).
- [9]Polkowski M,Orlowska J,Rupinski M,etc.Colonoscopy in colorectal-cancer screening for detection of advanced neoplasia.[J].2006,355(18).
- [10]Le Marchand L,Stram DO,Kolonel LN,etc.The association of diabetes with colorectal cancer risk: the Multiethnic Cohort.[J].2010,103(1).
- [11]Ferlay, Jacques,Soerjomataram, Isabelle,Dikshit, Rajesh,etc.Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012[J].2015,136(5).
- [12]Gong Yangming,Peng Peng,Bao Pingping,etc.The Implementation and First‐Round Results of a Community‐Based Colorectal Cancer Screening Program in Shanghai, China[J].2018,23(8).
- [13]Steinmaus C,Cohen SE,Tei Y,etc.Is diabetes mellitus an independent risk factor for colon cancer and rectal cancer?[J].2011,106(11).
- [14]Ferlitsch M,Reinhart K,Pramhas S,etc.Sex-specific prevalence of adenomas, advanced adenomas, and colorectal cancer in individuals undergoing screening colonoscopy.[J].2011,306(12).
- [15]Chen, Wanqing,Zheng, Rongshou,Baade, Peter D.,etc.Cancer Statistics in China, 2015[J].2016,66(2).
- [16]L, Kelley,N, Swan,D J, Hughes.An analysis of the duplicate testing strategy of an Irish immunochemical faecal occult blood test colorectal cancer screening programme.[J].2013,15(9).