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阿尔茨海默病:认知及神经精神症状的非药物和药物管理

Alzheimer disease: Non-pharmacological and pharmacological management of cognition and neuropsychiatric symptoms.

作者信息

Loi Samantha M, Eratne Dhamidhu, Kelso Wendy, Velakoulis Dennis, Looi Jeffrey Cl

机构信息

Neuropsychiatrist, Department of Psychiatry, University of Melbourne and NorthWestern Mental Health, Parkville, VIC, Australia.

Neuropsychiatrist, Melbourne Neuropsychiatry Centre, University of Melbourne and NorthWestern Mental Health, Parkville, VIC, Australia.

出版信息

Australas Psychiatry. 2018 Aug;26(4):358-365. doi: 10.1177/1039856218766123. Epub 2018 Apr 19.

Abstract

OBJECTIVES

This clinical update review focuses on the management of cognition and the neuropsychiatric features of Alzheimer's disease (AD) and highlights current issues regarding pharmacological and non-pharmacological treatment, putative therapeutics and recent relevant research findings in this area.

CONCLUSIONS

AD is a neurodegenerative progressive condition characterised by cognitive impairment and functional decline. Most people with AD will demonstrate neuropsychiatric features, better known as behavioural and psychological symptoms of dementia (BPSD). Early recognition and treatment of BPSD are essential, as these cause considerable distress and carer burden. While there are many disease-modifying therapies for the cognitive symptoms still in the research stage, only symptomatic treatments are currently available for these and the BPSD.

摘要

目的

本临床最新综述聚焦于阿尔茨海默病(AD)的认知管理和神经精神特征,并着重介绍了该领域在药物和非药物治疗、潜在疗法以及近期相关研究结果方面的当前问题。

结论

AD是一种以认知障碍和功能衰退为特征的神经退行性进展性疾病。大多数AD患者会表现出神经精神特征,即更为人熟知的痴呆行为和心理症状(BPSD)。早期识别和治疗BPSD至关重要,因为这些症状会造成相当大的痛苦和照料者负担。虽然仍有许多针对认知症状的疾病修饰疗法处于研究阶段,但目前针对这些症状和BPSD仅有对症治疗方法。

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