主观认知下降的研究进展
作者:
作者单位:

(1.首都医科大学附属北京天坛医院 神经病学中心认知障碍性疾病科,北京 100070;2.首都医科大学附属北京天坛医院. 国家神经系统疾病临床医学研究中心,北京 100070;3.首都医科大学附属北京天坛医院 健康管理中心,北京 100070)

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中图分类号:

R741.041

基金项目:

国家自然科学基金(82071187,81870821,81471215);国家重点研发计划项目(2021YFC2500103);北京市青年拔尖团队项目(2018000021223TD08)


Research progress in subjective cognitive decline
Author:
Affiliation:

(1. Department of Cognitive Neurology,Beijing 100070, China ;2. China National Clinical Research Center for Neurological Diseases,Beijing 100070, China ;3. Health Management Center, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China)

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    摘要:

    主观认知下降(SCD)是指自觉记忆下降但无客观证据表明任何认知域受损的一类疾病前症状。研究显示,与正常人相比,SCD明显增加阿尔茨海默病(AD)相关认知障碍的风险,亦有证据表明,部分SCD患者虽无典型的AD临床表现,但已存在典型的AD病理改变。这些研究证据均提示SCD作为AD相关认知障碍的前驱表现,或可成为认知障碍早期干预的黄金窗口期。然而,目前临床对SCD仍认识尚浅,且仍无统一的诊断标准。鉴于此,本文对近年来SCD的临床特点、生物及影像诊断标记物及干预前景进行总结,以提高临床认识。

    Abstract:

    Subjective cognitive decline (SCD) is a premorbid condition characterized by a decline in self-perceived memory without objective evidence of impairment of any cognitive domain. Studies have shown that SCD significantly increases the risk of cognitive impairment associated with Alzheimer′s Disease (AD) compared with normal controls. Evidence also indicates that some SCD patients have typical pathological AD changes although they do not have typical clinical manifestations of AD. All such findings suggest that SCD, as a precursor of AD-associated cognitive impairment, may be a golden window for early intervention of cognitive impairment. However, the clinical understanding of SCD is still shallow with no unified diagnostic criteria. In view of this, this review summarizes the clinical characteristics, biological and imaging diagnostic markers and intervention prospects of SCD in recent years to enhance its clinical understanding.

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李汶逸,姜季委,洪音,任琦玮,蒋施瑞,徐俊.主观认知下降的研究进展[J].中华老年多器官疾病杂志,2022,21(12):906~909

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  • 收稿日期:2022-10-20
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  • 在线发布日期: 2023-01-09
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