Kraft J W
Fachklinik für Geriatrie und Rehabilitation, Regiomed Klinikum Coburg, Ketschendorfer Str. 33, 96450, Coburg, Deutschland.
Internist (Berl). 2017 Feb;58(2):117-124. doi: 10.1007/s00108-016-0180-1.
The number of patients with dementia continues to increase worldwide, mainly due to the demographic developments. Early diagnosis and individualized therapy offers the chance of healing in secondary dementias. The therapy of the more common primary neurodegenerative forms is able to improve the course of the disease. As part of a multimodal management the therapy of dementias includes pharmacological treatment, nondrug treatment strategies, and psychosocial interventions. The treatment is administered depending on dementia form and stage. Antidementive medication and differentiated pharmacological therapy of frequent mental and behavioral symptoms corresponding to current guidelines contribute decisively to stabilize quality of life and activities of daily living, delaying the progression, and thus improving the care situation of patients and caregivers.
全球痴呆症患者数量持续增加，主要归因于人口结构变化。早期诊断和个体化治疗为继发性痴呆症带来治愈的机会。对于更常见的原发性神经退行性痴呆症形式，其治疗能够改善疾病进程。作为多模式管理的一部分，痴呆症治疗包括药物治疗、非药物治疗策略和心理社会干预。治疗根据痴呆症的类型和阶段进行。按照现行指南使用抗痴呆药物以及对常见精神和行为症状进行差异化药物治疗，对于稳定生活质量和日常生活活动、延缓疾病进展并进而改善患者及护理人员的照护状况具有决定性作用。
