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创伤性脑损伤作为阿尔茨海默病的一个危险因素:综述

Traumatic brain injury as a risk factor for Alzheimer's disease: a review.

作者信息

Lye T C, Shores E A

机构信息

Department of Psychology, Macquarie University, Australia, Sydney, NSW.

出版信息

Neuropsychol Rev. 2000 Jun;10(2):115-29. doi: 10.1023/a:1009068804787.

Abstract

Accumulating epidemiological evidence implicates traumatic brain injury as a pathogenic agent in the development of Alzheimer's disease (AD). Considering the increase in the prevalence of both traumatic brain injury and AD in recent times, the possibility that brain trauma may provoke the early development of AD has important implications for health service planning, preventative efforts, and medico-legal compensation settlements. This paper evaluates the plausibility of the proposed link between traumatic brain injury and AD, largely by way of exploring a theoretical perspective advanced by Satz (1993) and considering recent contributions from the epidemiological, neuropathological, and biochemical literature that are pertinent to this issue. The literature reviewed provides sufficient support and empirical vindication to give credence to the proposed association between these two neuropsychological entities at the statistical, theoretical, and biological level.

摘要

越来越多的流行病学证据表明,创伤性脑损伤是阿尔茨海默病(AD)发病的致病因素。鉴于近期创伤性脑损伤和AD的患病率均有所上升,脑外伤可能引发AD早期发病的可能性对卫生服务规划、预防措施以及医疗法律赔偿结算具有重要意义。本文主要通过探讨Satz(1993)提出的理论观点,并考虑流行病学、神经病理学和生物化学文献中与该问题相关的最新研究成果,来评估创伤性脑损伤与AD之间所提出联系的合理性。所综述的文献提供了充分的支持和实证依据,使人们在统计、理论和生物学层面上相信这两种神经心理疾病之间所提出的关联。

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