加强基层医务工作者对痴呆的识别与诊治是中国痴呆防控的关键

随着人口老龄化进程加剧，近年来我国痴呆患者数量呈现快速增多趋势，但目前我国痴呆诊治相关医疗资源主要集中在大型综合医院，远不能满足广大痴呆患者需求。目前仍存在基层医务工作者由于缺乏痴呆识别和诊治经验、不能区分痴呆与正常老化而导致多数痴呆患者得不到及时救治，进而贻误病情、导致患者错过早期治疗的最佳时间等问题。提高广大基层医务工作者对痴呆的识别和诊治能力、建立基层医务工作者与三甲医院记忆门诊的上下联动机制并进行连续性管理是中国痴呆防控的必要措施。本文主要就我国痴呆流行病学特征、诊治现状及困境、提高痴呆规范化管理水平的有效改进措施等进行了分析。

Strengthening Primary Healthcare Workers' Identification，Diagnosis and Treatment of Dementia Is the Key to the Prevention and Control of Dementia in China

With the aggravation of aging population，the number of dementia patients in China has shown a rapid growth trend in recent years.However，current available dementia care resources are mainly distributed in large-scale general hospitals in China，which is far from meeting the needs of the majority of dementia patients.And most dementia patients seeking care in primary care may not receive accurate diagnosis and treatment as primary healthcare workers can not distinguish dementia from normal aging due to lack of related experience，which may lead to dementia progression because of delayed diagnosis and treatment.To prevent and control dementia，it is necessary to improve primary healthcare workers' abilities in identifying，diagnosing and treating dementia，and to develop a specific mechanism to strength the cooperation（including bi-directional referrals and continued management of dementia）between primary healthcare workers and memory disorders outpatient healthcare workers in tertiary care.This paper mainly analyzes the epidemiological characteristics of dementia，status and difficulties in diagnosing and treating dementia，and effective measures to improve the standardized management of dementia in China.