Haupt M, Rosenfeld S, Stoppe G
Hirnleistungsstbrungen, Neuro-Centrum Dusseldorf.
MMW Fortschr Med. 2004 Aug 5;146 Suppl 2:51-6.
In two exploratory studies on the outpatient treatment of patients suffering from Alzheimer dementia research was done into the characteristics of therapy in medical practice on the basis of exemplary interviews of 100 doctors in 2000 and 2002. The interviewers discern the burden of the disease for the patients and their relatives. However, medical treatment is still too scarce and inappropriate as the prescribing of antidementia drugs shows, among which especially acetylcholinesterase inhibitors as drugs of first choice. The spectrum of non-pharmacological interventions is applied but psychosocial measures are under-represented. To maintain the Alzheimer patient's functional level and to thus relieve the caring relatives a multimodal therapy should be intensified preferably by comprehensive co-operations.
在两项针对阿尔茨海默病痴呆患者门诊治疗的探索性研究中，基于2000年和2002年对100名医生的典型访谈，对医疗实践中的治疗特点进行了研究。访谈者识别出了该疾病给患者及其亲属带来的负担。然而，正如抗痴呆药物的处方所示，药物治疗仍然太少且不恰当，其中尤其以作为首选药物的乙酰胆碱酯酶抑制剂为甚。非药物干预措施的范围得到了应用，但心理社会措施的占比不足。为维持阿尔茨海默病患者的功能水平，从而减轻照料亲属的负担，应通过全面合作加强多模式治疗。
