基于社区的阿尔茨海默病三级综合防治中国专家共识(2025版)  

Chinese expert consensus on community-based three-level comprehensive prevention and treatment of Alzheimer's disease(2025 edition)

作　　者：王颖[1] 孙亮[2,3] 王刚 李春波[5] 周厚广[6] 杜怡峰[7] 曹云鹏 汪凯[9] 张杰文[10] 姚尧[11] 唐尚锋 井玉荣 徐启华 彭希哲 胡予[15] 齐海梅[2] 中华预防医学会老年病预防与控制专业委员会[16] 上海市预防医学会老年健康与老年病防治专委会 上海市养老服务和老龄产业协会 Wang Ying;Sun Liang;Wang Gang;Li Chunbo;Zhou Houguang;Du Yifeng;Cao Yunpeng;Wang Kai;Zhang Jiewen;Yao Yao;Tang Shangfeng;Jing Yurong;Xu Qihua;Peng Xizhe;Hu Yu;Qi Haimei(School of Public Health,Joint University-Business Laboratory for Nutrition and Degenerative Disease Research,NHC Key Laboratory of Health Technology Assessment,Fudan University,Shanghai 200032,China;Beijing Hospital,National Center for Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;The Key Laboratory of Geriatrics of National Health Commission,Beijing Institute of Geriatrics,of National Health Commission,Beijing 100730,China;Renji Hospital,Shanghai Jiao Tong University School of Medicine,200120 Shanghai,China;Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Huashan Hospital,Fudan University,Shanghai 200040,China;Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;The First Affiliated Hospital of China Medical University,Shenyang 110001,China;The First Affiliated Hospital of Anhui Medical University,Hefei 230032,China;Henan Provincial People's Hospital,Zhengzhou 450003,China;PKU China Center for Health Development Studies,Beijing 100191,China;Tongji Medical College of Huazhong University of Science&Technology School of Medicine and Health Management,Wuhan 430030,China;Shanghai Elderly Care Service Industry Association,Shanghai 200333,China;Fudan University Institute on Aging,Shanghai 200433,China;Fudan Zhongshan Hospital,Shanghai 200032,China)

机构地区：[1]复旦大学公共卫生学院/营养与退行性疾病研究校企联合实验室/国家卫生健康委员会卫生技术评估重点实验室,上海200032 [2]北京医院,国家老年医学中心,中国医学科学院老年医学研究院,北京100730 [3]国家卫健委老年医学重点实验室,国家卫健委北京老年医学研究所,北京100730 [4]上海交通大学医学院附属仁济医院,上海200120 [5]上海交通大学医学院附属精神卫生中心,上海200030 [6]复旦大学附属华山医院,上海200040 [7]山东第一医科大学附属省立医院,济南250021 [8]中国医科大学附属第一医院,沈阳110001 [9]安徽医科大学第一附属医院,合肥230022 [10]河南省人民医院,郑州450003 [11]北京大学中国卫生发展研究中心,北京100191 [12]华中科技大学同济医学院医药卫生管理学院,武汉430030 [13]上海市养老服务行业协会,上海200333 [14]复旦大学老龄研究院,上海200433 [15]复旦大学附属中山医院,上海200032 [16]不详

出　　处：《中华老年医学杂志》2025年第3期227-237,共11页Chinese Journal of Geriatrics

基　　金：国家科技重大专项"四大慢病重大专项"(2024ZD0524200,2023ZD0509800)。

摘　　要：阿尔茨海默病(Alzheimer's disease,AD)作为一种与年龄相关的神经系统退行性疾病,是痴呆最常见的类型。随着老龄化进程的不断加剧,AD给家庭、社会带来了沉重疾病与照护负担,成为国际公共卫生问题。近年来,世界各国纷纷出台痴呆防治计划,注重以社区为本的综合防治,当前我国社区AD防治模式仍处于探索阶段,社区工作开展相对无序。为响应我国痴呆防治促进行动计划,实现"健康老龄化"战略目标,本共识基于三级预防理念,结合AD疾病进程特点,研制适用于我国社区开展的AD综合防治策略,旨在为社区AD防治提供技术指导和支持,为我国社区AD防治模式制定提供科学依据。Alzheimer's disease(AD),a neurodegenerative disorder associated with aging,is the most prevalent form of dementia.As the aging population continues to expand,AD presents significant health and caregiving challenges for families and society,making it a pressing international public health concern.In recent years,numerous countries have implemented dementia prevention and treatment strategies that emphasize community-based comprehensive approaches.Currently,the community-based AD prevention and treatment model in China is still in the exploratory phase,with community efforts lacking organization.In alignment with China's action plan for advancing dementia prevention and treatment,and to achieve the strategic objective of"healthy aging,"this consensus is based on the principle of three-level prevention and is tailored to the characteristics of AD disease progression.It aims to develop a comprehensive prevention and treatment strategy for AD that is suitable for communities in China,providing technical guidance and support to establish a scientific basis for formulating community AD prevention and treatment models.

关 键 词：阿尔茨海默病 预防卫生服务 社区 综合防治 专家共识 

分 类 号：R74[医药卫生—神经病学与精神病学]