Frölich Lutz, von Arnim Christine, Bohlken Jens, Pantel Johannes, Peters Oliver, Förstl Hans
Abteilung Gerontopsychiatrie, Zentralinstitut für Seelische Gesundheit, 68163, Mannheim, Deutschland.
Klinik für Geriatrie, Universitätmedizin Göttingen, Göttingen, Deutschland.
Z Gerontol Geriatr. 2023 Oct;56(6):492-497. doi: 10.1007/s00391-022-02098-4. Epub 2022 Aug 25.
Mild cognitive impairment (MCI) is a common problem in old people, which can be distressing for patients and their families. The main feature of MCI is a decrease in cognitive performance with activities of daily living still unimpaired. The identification of treatable risk factors, recognition of early cognitive changes and a timely differential diagnosis, comprehensive information and counselling are important tasks in geriatric medicine. The aim of this article is to present practical recommendations to support physicians working with geriatric patients in recognizing cognitive deficits at an early stage, provide high-quality care focusing on counselling, treatment, and comorbidity management and to maximize the potential of the available treatment options.
轻度认知障碍（MCI）是老年人常见的问题，这可能会让患者及其家人感到苦恼。MCI的主要特征是认知功能下降，但日常生活活动仍未受损。识别可治疗的风险因素、认识早期认知变化并及时进行鉴别诊断、提供全面信息和咨询是老年医学中的重要任务。本文的目的是提出实用建议，以支持从事老年患者工作的医生在早期识别认知缺陷，提供以咨询、治疗和合并症管理为重点的高质量护理，并最大限度地发挥现有治疗方案的潜力。
