Department of Neurology and Psychiatry, Saint Louis University, St Louis, MO, USA.
Clin Geriatr Med. 2010 Feb;26(1):29-44. doi: 10.1016/j.cger.2009.12.006.
Head injury has been recognized as an increasingly important determinant of late-life cognitive function. Despite a large number of research and clinical studies, no direct link has been established between minor head trauma with or without loss of consciousness and the development of dementia of the Alzheimer type. Similarly for alcohol, low doses have been found to be somewhat protective against dementia, whereas large doses increased the risk of late-life cognitive dysfunction. Among the many environmental toxins suspected of causing cognitive dysfunction, lead intoxication has the strongest evidence to support a link.
头部损伤已被认为是导致老年人认知功能下降的一个越来越重要的因素。尽管有大量的研究和临床研究,但轻度头部创伤,无论是否伴有意识丧失,与阿尔茨海默病型痴呆的发展之间并没有直接联系。同样,对于酒精,低剂量被发现对痴呆有一定的保护作用,而大剂量则增加了晚年认知功能障碍的风险。在许多被怀疑导致认知功能障碍的环境毒素中,铅中毒的证据最为有力。