轻度认知障碍的早期诊断及筛查方法研究现状  

Current research on early diagnosis of mild cognitive impairment and screening methods

作　　者：卢凤达 闫芸芸 周靓[1,2] 郭义 周丹[1] Lu Fengda;Yan Yunyun;Zhou Liang;Guo Yi;Zhou Dan(Experimental Acupunclure Research Center,Tianjin University of Traditional Chinese Medicine,Tianjin 301617.China;Hongdu Traditional Chinese Medicine Hospital,Nanchang 330000,China)

机构地区：[1]天津中医药大学实验针灸学研究中心,天津301617 [2]江西省南昌市洪都中医院,南昌330000

出　　处：《中华老年医学杂志》2024年第4期528-533,共6页Chinese Journal of Geriatrics

摘　　要：轻度认知障碍(MCI)是介于正常衰老和痴呆之间的一种过渡状态,MCI阶段的认知功能减退具有一定的可逆性,因此早期诊断并有效干预对于降低或延缓痴呆的发生至关重要。本文通过对现有的诊断筛查方式进行总结和梳理,发现目前MCI的诊断有方法但尚无统一标准,多手段联合导致成本过高而较难在基层医疗服务机构广泛开展,而单一方式又可能存在误检或假阳性等,故呕待开展相关研究,确立一套经济高效的诊断筛查体系以早期诊断并早期干预,最大限度延缓或阻止认知功能进一步衰退至痴呆。Mild cognitive impairment(MCI)is a transitional state between normal aging and dementia.Cognitive decline in the MCI stage is reversible to a certain extent,so early diagnosis and effective intervention are essential to reduce or delay the occurrence of dementia.In this paper,after summarizing and examining the existing screening methods for MCI.it becomes clear to us that although methods for MCI diagnosis are currently available,there are no universally accepted criteria.The combination of multiple methods leads to high cost and is difficult to be widely implemented in primary medical service institutions,while a single method may result in misdiagnosis or false positives.Therefore,it is urgent to carry out relevant research,establish an economical and efficient screening system for early diagnosis and early intervention,and maximally delay or prevent the progression of cognitive decline to dementia.

关 键 词：认知障碍 早期诊断 筛查评估 

分 类 号：R749.1[医药卫生—神经病学与精神病学]