Li Ping, Xin Yue, Li Chunxiao, Yao Laisong, Su Yuekang
Department of Neurology, The Fifth Affiliated Hospital of Kunming Medical University, Yunnan Honghe Prefecture Central Hospital (Ge Jiu People's Hospital), Gejiu, China.
Department of Outpatient, The Fifth Affiliated Hospital of Kunming Medical University, Yunnan Honghe Prefecture Central Hospital (Ge Jiu People's Hospital), Gejiu, China.
Front Neurol. 2025 Aug 6;16:1596940. doi: 10.3389/fneur.2025.1596940. eCollection 2025.
Post stroke cognitive impairment (PSCI) is a series of common complications caused by stroke, ranging from mild cognitive impairment to dementia, which seriously affects the recovery and living quality of patients. Currently, the diagnosis of PSCI in the clinic mostly relies on subjective scale assessment, the untimeliness and imprecision of results greatly limit the efficient identification as well as the subsequent diagnosis and treatment of PSCI. With the increasing popularity and optimization of bioassay techniques and equipment, more and more studies have identified potential early warning markers of stroke patients with the development of their cognitive deficits through hematological testing or imaging. Therefore, the application of blood-based biomarkers and imaging techniques is important for the early identification of PSCI. This review focuses on the research progress of the above two testing modalities in PSCI to discuss their vital meanings for disease recognition. It also suggests that the combined application of the two is expected to improve the potential value of early and accurate diagnosis, with a view to providing new ideas for the clinical diagnosis and treatment of PSCI.
卒中后认知障碍(PSCI)是由卒中引起的一系列常见并发症,范围从轻度认知障碍到痴呆,严重影响患者的康复和生活质量。目前,临床上PSCI的诊断大多依赖主观量表评估,结果的不及时性和不精确性极大地限制了PSCI的有效识别以及后续的诊断和治疗。随着生物检测技术和设备的日益普及和优化,越来越多的研究通过血液检测或影像学检查,随着卒中患者认知功能缺损的发展,确定了潜在的预警标志物。因此,基于血液的生物标志物和影像学技术的应用对于PSCI的早期识别至关重要。本文综述聚焦于上述两种检测方式在PSCI中的研究进展,以探讨它们对疾病识别的重要意义。还表明两者联合应用有望提高早期准确诊断的潜在价值,以期为PSCI的临床诊断和治疗提供新思路。