中国综合医院神经内科门诊痴呆的诊断与治疗。

Diagnosis and treatment of dementia in neurology outpatient departments of general hospitals in China.

机构信息

Department of Neurology, Beijing Friendship Hospital, Capital Medical University; Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.

Department of Neurology, Xuan Wu Hospital, Capital Medical University; Center of Alzheimer's Disease of Beijing Institute for Brain Disorders; Beijing Key Laboratory of Geriatric Cognitive Disorders; Beijing, P. R. China.

出版信息

Alzheimers Dement. 2016 Apr;12(4):446-53. doi: 10.1016/j.jalz.2015.06.1892. Epub 2015 Aug 7.

DOI:10.1016/j.jalz.2015.06.1892

PMID:26256457

Abstract

INTRODUCTION

The status of dementia diagnosis and treatment of neurology outpatients in general hospitals in China remains unclear.

METHODS

From neurology outpatients at 36 randomly selected hospitals, we first collected baseline data concerning the number of dementia doctors, memory clinics, and patients diagnosed with dementia. In stage 2, we intervened based on drawbacks discovered in stage 1, implementing a dementia initiative program. In stage 3, we reinvestigated the outpatients to determine the effects of intervention.

RESULTS

After intervention, all 36 hospitals had established memory clinics (205 dementia doctors) compared with only 6 (47 dementia doctors) before intervention. The percentage of patients diagnosed with dementia significantly increased from 0.10% (536 dementia patients of 553,986 outpatients) in stage 1 to 0.41% (2482 dementia patients of 599,214 outpatients) in stage 3.

DISCUSSION

Proper diagnosis and treatment are unavailable to many dementia patients because of a lack of dementia doctors and memory clinics in China.

摘要

简介

中国综合医院神经内科门诊的痴呆诊断和治疗现状仍不清楚。

方法

我们首先从 36 家随机选择的医院的神经内科门诊患者中收集了基线数据，包括痴呆医生、记忆门诊和诊断为痴呆的患者人数。在第 2 阶段，我们根据第 1 阶段发现的缺陷进行干预，实施了痴呆干预计划。在第 3 阶段，我们重新调查了门诊患者，以确定干预效果。

结果

干预后，所有 36 家医院都建立了记忆门诊（205 名痴呆医生），而干预前只有 6 家医院（47 名痴呆医生）。与第 1 阶段的 0.10%（553986 名门诊患者中有 536 名痴呆患者）相比，第 3 阶段诊断为痴呆的患者比例显著增加至 0.41%（599214 名门诊患者中有 2482 名痴呆患者）。