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[荷兰全科医生学院(NHG)“痴呆症”实践指南总结]

[Summary of Dutch College of General Practitioners' (NHG) practice guideline 'Dementia'].

作者信息

Luning-Koster Marleen, Perry Marieke, Moll van Charante Eric P, Vernooij-Dassen Myrra, Wiersma Tjerk, Burgers Jako S

机构信息

Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Utrecht, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2012;156(49):A5323.

Abstract

Dementia is a clinical diagnosis which a general practitioner can either make him/herself or by specific referral. If no abnormalities are found on further clinical investigations by the GP, the risk of missing a treatable cause of dementia is very small; therefore routine imaging examinations are not necessary. GPs are not recommended to prescribe cholinesterase inhibitors or memantine. The implementation of various psycho-social interventions has a positive effect on patients and their home carers and can postpone admission to a nursing home. Dementia care requires working agreements and collaboration amongst local care providers.

摘要

痴呆症是一种临床诊断,全科医生可以自行做出诊断,也可以通过特定转诊来诊断。如果全科医生在进一步的临床检查中未发现异常,漏诊可治疗的痴呆病因的风险非常小;因此,常规影像学检查没有必要。不建议全科医生开具胆碱酯酶抑制剂或美金刚。实施各种心理社会干预措施对患者及其家庭护理人员有积极影响,并可推迟入住养老院。痴呆症护理需要当地护理提供者之间达成工作协议并进行协作。

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