Zhang Min, Zhu Yu-Hang, Zhu Zhao-Qiong
Department of Anesthesiology Affiliated Hospital of Zunyi Medical University Zunyi Guizhou China.
Suining Central Hospital Suining Sichuan China.
Ibrain. 2022 Feb 18;10(1):83-92. doi: 10.1002/ibra.12018. eCollection 2024 Spring.
Cognitive impairment (CI) is a mental disorder related to cognition and understanding, which is mainly categorized into mild CI and senile dementia. This disease is associated with multiple factors, such as chronic brain injury, aging, chronic systemic disease, mental state, and psychological factors. However, the pathological mechanism of CI remains unclear; it is usually associated with such underlying diseases as diabetes and hyperlipidemia. It has been demonstrated that abundant lipid metabolism indexes in the human body are closely related to CI, including total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides, apolipoprotein, and so forth. As a crucial risk factor for CI, hyperlipidemia is of great significance in the occurrence and development of CI. However, the specific correlation between dyslipidemia and CI is still not fully elucidated. Besides, the efficacy of lipid-lowering drugs in the prophylaxis and treatment of CI has not been clarified. In this study, relevant advances in the influence of lipid metabolism disorders in CI will be reviewed, in an attempt to explore the effect of mediating blood lipid levels on the prophylaxis and treatment of CI, thus providing a reference for its clinical management.
认知障碍(CI)是一种与认知和理解相关的精神障碍,主要分为轻度CI和老年痴呆症。这种疾病与多种因素有关,如慢性脑损伤、衰老、慢性全身性疾病、精神状态和心理因素。然而,CI的病理机制仍不清楚;它通常与糖尿病和高脂血症等基础疾病有关。已经证明,人体中丰富的脂质代谢指标与CI密切相关,包括总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、甘油三酯、载脂蛋白等。高脂血症作为CI的一个关键危险因素,在CI的发生和发展中具有重要意义。然而,血脂异常与CI之间的具体相关性仍未完全阐明。此外,降脂药物在CI预防和治疗中的疗效也尚未明确。在本研究中,将综述脂质代谢紊乱对CI影响的相关进展,试图探讨调节血脂水平对CI预防和治疗的作用,从而为其临床管理提供参考。