Diehl J, Staehelin H, Wiltfang J, Hampel H, Calabrese P, Monsch A, Schmid R, Romero B, Schunk M, Kuhlmann H P, Wolter-Henseler D K, Mauerer C, Stoppe G, Kurz A
Klinik und Poliklinik für Psychiatrie und Psychotherapie, TU München, Ismaninger Str. 22, 81675 Munich, Germany.
Z Gerontol Geriatr. 2003 Jun;36(3):189-96. doi: 10.1007/s00391-003-0154-5.
The 7th annual meeting of the memory clinics of Germany, Switzerland and Austria in March 2002 in Göttingen, Germany was an optimal opportunity to make an inventory about the state of the art in diagnostic and therapy of dementia and mild cognitive impairment in German-speaking memory clinics. Several problems were discussed including difficulties in 1) diagnosis of patients with aphasia or foreign patients, 2) handling of demented patients without a caregiver, 3) psychological support for patients, who have been diagnosed in a very early stage, 4) misunderstandings between general practitioners, neurologists and psychiatrists in private practice on the one hand and the memory clinics on the other hand, 5) recommendations for prevention of dementia, 6) recommendations concerning dementia and car driving and 7) questions of genetic counselling. The following paper is a summary of the results of a workshop in Göttingen and gives practical recommendations based on the experiences of the memory clinics.
2002年3月在德国哥廷根举行的第七届德国、瑞士和奥地利记忆诊所年会,是盘点德语区记忆诊所痴呆症和轻度认知障碍诊断与治疗现状的绝佳契机。会议讨论了几个问题,包括:1)失语患者或外国患者的诊断困难;2)无照料者的痴呆患者的护理问题;3)对极早期确诊患者的心理支持;4)一方面私人执业的全科医生、神经科医生和精神科医生与另一方面记忆诊所之间的误解;5)痴呆症预防建议;6)有关痴呆症与驾车的建议;7)遗传咨询问题。下文是哥廷根一次研讨会结果的总结,并根据记忆诊所的经验给出了实用建议。