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轻度认知障碍:诊断还是不诊断。

Mild cognitive impairment: To diagnose or not to diagnose.

机构信息

School of Health and Biomedical Sciences, RMIT University, Melbourne, Victoria, Australia.

Pharmacy Department, Alfred Health, Melbourne, Victoria, Australia.

出版信息

Australas J Ageing. 2021 Jun;40(2):111-115. doi: 10.1111/ajag.12913. Epub 2021 Feb 18.

Abstract

Older people living with mild cognitive impairment (MCI) have a slight but noticeable decline in their cognitive function, though do not meet the diagnostic criteria for dementia. MCI is controversial, with some saying it is a condition that does not require diagnosis, and others stating that it is a genuine clinical syndrome. Many people with MCI will improve, and most will not progress to dementia. Managing co-morbidities and exercising are likely to be the best treatment options. With limited evidence for effective interventions and uncertainty as to the prognostic value of the condition, the benefit of diagnosing MCI remains unclear.

摘要

患有轻度认知障碍 (MCI) 的老年人的认知功能有轻微但明显的下降,但不符合痴呆症的诊断标准。MCI 存在争议,一些人认为它是一种不需要诊断的病症,而另一些人则认为它是一种真正的临床综合征。许多 MCI 患者会好转,大多数患者不会发展为痴呆症。管理合并症和锻炼可能是最好的治疗选择。由于有效的干预措施证据有限,以及对该病症预后价值的不确定性,诊断 MCI 的益处仍不清楚。

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