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阿尔茨海默病社区筛查和诊断的研究进展
引用本文:马蔚蔚,张晓玲.阿尔茨海默病社区筛查和诊断的研究进展[J].中国全科医学,2021,24(6):643-651.
作者姓名:马蔚蔚  张晓玲
作者单位:1.310000浙江省杭州市,浙江中医药大学第二临床医学院 2.314000浙江省嘉兴市,嘉兴学院附属第二医院神经内科
*通信作者:张晓玲,教授;E-mail:zhangxiaolin-jx@163.com
摘    要:阿尔茨海默病是最常见的痴呆类型,随着人口老龄化进程加剧,近年来其发病率日益升高。阿尔茨海默病的早发现、早诊断、早治疗有赖于社区筛查和诊断流程的建立,但目前国内外并无统一标准。本文就近年来国内外阿尔茨海默病社区筛查和诊断常用的评估量表和工具、诊断标准及筛查和诊断流程进行了综述,并分析了各量表和工具的优劣性、诊断标准的适用性及筛查和诊断流程的可操作性,以探讨建立适用于我国的阿尔茨海默病社区筛查和诊断流程。

关 键 词:阿尔茨海默病  筛查  诊断  社区卫生服务  综述  

Latest Developments in Community Screening and Diagnosis of Alzheimer's Disease
MA Weiwei,ZHANG Xiaoling.Latest Developments in Community Screening and Diagnosis of Alzheimer's Disease[J].Chinese General Practice,2021,24(6):643-651.
Authors:MA Weiwei  ZHANG Xiaoling
Institution:1.The 2nd Clinical Medical College,Zhejiang Chinese Medical University,Hangzhou 310000,China
2.Department of Neurology,the Second Affiliated Hospital of Jiaxing University,Jiaxing 314000,China
*Corresponding author:ZHANG Xiaoling,Professor;E-mail:zhangxiaolin-jx@163.com
Abstract:Alzheimer's disease is the most common type of dementia,whose incidence is increasing with the advent of an aging society.The development of community-based screening and diagnosis procedure of Alzheimer's disease is greatly essential to early detection,diagnosis and treatment of this disease,but there are no uniform criteria for the procedure.We reviewed the evaluation scales and tools,diagnostic criteria,screening and diagnosis procedure commonly used in community-based screening and diagnosis of Alzheimer's disease in recent years,with brief introduction to the strengths and limitations of the scales and tools,the application of diagnostic criteria,and the maneuverability of the screening and diagnosis procedure,to offer theoretical guidance for the development of a community-based screening and diagnosis procedure of Alzheimer's disease appropriate for domestic conditions.
Keywords:Alzheimer disease  Screening  Diagnosis  Community health services  Review  
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