公共卫生 公共卫生
Kensaku Kasuga1, Soichiro Shimizu2, Noriyuki Kimura3
1Niigata University, Niigata, Niigata, Japan.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
在日本,阿尔茨海默氏病 (AD) 诊断旅程大约需要2.2年. 最长的延迟发生在第一个医疗访问之前,突出需要提高认识和及时咨询,以早期诊断和治疗AD.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 早期诊断阿尔茨海默病 (AD) 对于有效治疗至关重要.
- 在日本,阿兹海默症患者的诊断旅程仍然不太了解.
- 这项研究调查了在日本阿尔茨海默病诊断的时间表和瓶.
研究的目的:
- 为了研究日本阿兹海默症患者从症状发作到诊断的时间.
- 确定阿尔茨海默病诊断途径中的主要限制性步骤.
- 分析早期发病的AD (EOAD) 和晚期发病的AD (LOAD) 的诊断延迟.
主要方法:
- 在日本 (2011-2023) 对138名被诊断为可能患有AD痴呆症或因AD而患有MCI的患者进行了回顾性观察研究.
- 18-79岁的受试者,分为EOAD (<65岁) 和LOAD (≥65岁),匹配1:1.
- 从电子医疗记录中提取的数据,重点关注从症状发作到诊断的时间间隔.
主要成果:
- 从症状发作到AD诊断的平均时间为121.8±88.9周 (约1.8±88.9周). 2.2年) 的时间.
- 在症状发作和第一次去看医生 (77.0 ± 74.4 周) 之间观察到的延迟最长.
- 随后的延迟包括:首次拜访专家转诊 (34.9 ± 49.2周) 和专家转诊诊断 (10.5 ± 18.8周).
结论:
- 在日本,阿尔茨海默病的总诊断持续时间约为2.2年.
- 尽量减少从症状发作到初次医疗接触的时间是缩短整体诊断周期的关键.
- 提高公众和患者对AD症状的认识以及早期咨询的重要性对于及时治疗至关重要.
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