关于在中国快速查预发性阿尔茨海默病的共识
Lin Huang1, Qinjie Li1, Yao Lu1
1Department of Gerontology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
General psychiatry
|February 5, 2024
概括
这一共识确立了在中国进行预发性阿尔茨海默病 (pAD) 的成本效益查,使用神经心理测试和生物标志物来识别有风险的个体并指导早期干预.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 精神病学是一个精神病学.
背景情况:
- 阿尔茨海默病 (AD) 痴呆症与粉样β,病理和神经退行有关.
- 生产性AD (pAD) 涉及轻度认知障碍与AD病理,需要早期干预.
- 目前的AD病理检测方法 (CSF,PET) 昂贵且具有侵入性,限制了像中国这样的低收入地区的使用.
研究的目的:
- 建立一个正式的共识,在成本效益的查方法,用于中国的先发性阿尔茨海默病 (pAD).
- 为了解决对可访问的生物标志物的需求,以早期检测AD病理.
- 引导临床医生识别高风险个体和pAD的治疗点.
主要方法:
- 一个系统的文献审查和焦点小组讨论为共识提供了信息.
- 一个由45名神经病学家,精神病学家和老年病学家组成的小组参加了会议.
- 国家会议举行了审查,投票和专家意见,采用三分之二多数决策规则.
主要成果:
- 推的查方法包括神经心理评估,外围生物标志物和脑部成像.
- 在中国建立了对pAD查的一般工作流程.
- 这种共识旨在促进对pAD的早期识别和干预.
结论:
- 建立的共识为中国的经济有效的pAD查提供了一个框架.
- 通过推方法改善早期检测可以帮助预防痴呆症的进展.
- 这个倡议支持对pAD患者进行及时的治疗干预.
更多相关视频
06:23The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
Published on: October 13, 2016
32.3K
07:42Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
Published on: December 16, 2022
3.0K
相关概念视频
Alzheimer's Disease: Overview
487
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
487
Alzheimer's Disease: Treatment
193
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
193
Dementia
115
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
115
