首页|血浆致动脉粥样硬化指数与脑小血管病总负荷的相关性研究进展

血浆致动脉粥样硬化指数与脑小血管病总负荷的相关性研究进展

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脑小血管病(CSVD)是一组由不同病因造成的临床症状和影像学表现相似的疾病,它主要影响着脑内的小动脉及小静脉等高级血管网。目前,CSVD的病理生理机制仍不完全清楚,但动脉粥样硬化(AS)是众所周知的脑部血管疾病的主要病理机制之一,而血脂在AS的发病机制中又起着非常重要的作用。随着大量学者的深入研究,目前认为血浆致动脉粥样硬化指数(AIP)及其相关传统血脂指标与CSVD联系密切。此研究从AIP与CSVD的发生发展入手,深入探讨了AIP及相关传统血脂指标与CSVD各分型之间的相关性,整合CSVD影像学总负荷来体现CSVD的严重程度,进一步探讨AIP及传统血脂指标与CSVD总负荷的相关性,最终确定了AIP与CSVD严重程度的相关性。本文对AIP及其相关传统指标与CSVD总负荷的相关性研究进展做一综述,全面阐述了血脂对CSVD总负荷的影响,为临床建立CSVD总负荷综合性评价指标提供新依据。
Research Progress on Correlation between Atherogenic Index of Plasma and Total Load of Cerebral Small Vessel Disease
Cerebral small vessel disease(CSVD)is a group of diseases with similar clinical symptoms and imaging findings caused by different etiologies,which mainly affects the higher vascular network such as small arteries and small veins in the brain.At present,the pathophysiological mechanism of CSVD is still not completely clear,but atherosclerosis(AS)is one of the main pathological mechanisms of cerebral vascular diseases,and lipids play a very important role in the pathogenesis of AS.With the in-depth study of a large number of scholars,it is believed that the atherogenic index of plasma(AIP)and its related traditional lipid indexes are closely related to CSVD.Starting from the occurrence and development of AIP and CSVD,this study deeply discussed the correlation between AIP and relevant traditional lipid indexes and CSVD types,integrated the total imaging load of CSVD to reflect the severity of CSVD,and further explored the correlation between AIP and traditional lipid indexes and total CSVD load.Finally,the correlation between AIP and CSVD severity was determined.This paper reviews the research progress of correlation between AIP and its related traditional indicators and total load of CSVD,and comprehensively expounds the influence of lipid on total load of CSVD,which provides a new basis for establishing comprehensive evaluation indicators of total load of CSVD in clinic.

Atherogenic Index of plasmaCerebral small vessel diseaseTotal load of cerebral small vessel diseaseBlood lipidsReview

刘静、董爱勤

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河北医科大学 河北 石家庄 050017

河北医科大学附属沧州市中心医院

血浆致动脉粥样硬化指数 脑小血管病 脑小血管病总负荷 血脂 综述

河北省医学适用技术跟踪项目

GZ2021007

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(14)
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