从中医体质角度探讨老年痴呆的三级预防与管理  

Discussion on three-level prevention and disease management of senile dementia from the perspective of TCM constitution

作　　者：李文乐 蔡煜阳 陈顺琪 李竹青 魏巍[1] 曲淼 赵晓山[3] 白明华[4] 王济 Li Wenle;Cai Yuyang;Chen Shunqi;Li Zhuqing;Wei Wei;Qu Miao;Zhao Xiaoshan;Bai Minghua;Wang Ji(Beijing University of Chinese Medicine,Beijing 102400,China;Neurology Department,Xuanwu Hospital of Capital Medical University,Beijing 100053,China;School of Traditional Chinese Medicine,Southern Medical University,Guangzhou 510515,China;National Institute of TCM Constitution and Preventive Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京102400 [2]首都医科大学宣武医院神经内科,北京100053 [3]南方医科大学中医药学院,广州510515 [4]北京中医药大学国家中医体质与治未病研究院,北京100029 [5]北京中医药大学中医学院,北京100029

出　　处：《国际中医中药杂志》2023年第10期1207-1211,共5页International Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划项目(2020YFC2003100,2020YFC2003101,2020YFC2003103);国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-C-202001)。

摘　　要：老年痴呆可随着年龄增长而逐渐发展,其病因、发病机制和治疗等尚未完全明确,因此从预防和疾病管理角度着手防治老年痴呆很有必要。对于未病人群,从中医体质入手分析老年痴呆的易患群体,结合当前的预防方案,从检查、营养补充、作息调整、运动锻炼等方面,针对不同阶段的人群进行早期体质预防;老年痴呆早期发病不明显,结合体质辨识与老年痴呆检查,从多方面加以预防;针对确切患病人群,在上述基础上增加疾病管理指导,为老年群体提供确切可行的疾病预防与管理建议。Senile dementia is a disease that gradually develops with age.At present,the etiology,pathogenesis and treatment of senile dementia cannot be completely determined clinically.Therefore,it is extremely necessary to prevent and treat senile dementia from prevention and disease management.For the non-ill people,this article analyzed the susceptible groups of senile dementia from the perspective of TCM constitution,combined with the current prevention plan of Alzheimer's disease,from the aspects of examination,nutritional supplementation,adjustment of work and rest,exercise,etc.,early physical fitness prevention targeting populations at different stages was conducted;the early onset of senile dementia is not obvious,and the early prevention of senile dementia can be carried out from various aspects in combination with constitution identification and inspection of senile dementia;for the exact sick population,disease management guidance can be added on the basis of the above aspects to provide definite and feasible recommendations for disease prevention and management of the elderly.

关 键 词：痴呆 老年人 中医体质 体质三级预防 疾病管理 

分 类 号：R277.7[医药卫生—中医学]