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认知障碍和痴呆患者常见神经行为和精神障碍的诊断和治疗策略。

Diagnostic and Management Strategies for Common Neurobehavioral and Psychiatric Disturbances Among Patients with Cognitive Impairment and the Dementias.

机构信息

Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Henry and Allison McCance Center for Brain Health, 100 Cambridge Street, Room 2054, Boston, MA 02144, USA.

Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Henry and Allison McCance Center for Brain Health, 100 Cambridge Street, Room 2054, Boston, MA 02144, USA.

出版信息

Clin Geriatr Med. 2023 Feb;39(1):161-175. doi: 10.1016/j.cger.2022.08.004. Epub 2022 Oct 18.

DOI:10.1016/j.cger.2022.08.004
PMID:36404029
Abstract

Neurobehavioral and neuropsychiatric symptoms are highly prevalent among individuals diagnosed with cognitive impairment or dementia and impact the quality of life for patients and caregivers alike. Diagnosis and management of these conditions (including primarily depression, anxiety, apathy, psychosis, agitation, and aggression) is crucial to optimal patient care outcomes in clinical practice. The present article provides a practical review of diagnostic approaches and management strategies for behavioral and neuropsychiatric disorders arising in patients with cognitive impairment, up to and including dementia.

摘要

神经行为和神经精神症状在被诊断患有认知障碍或痴呆的个体中非常普遍,并且会影响患者和照护者的生活质量。在临床实践中,这些病症(包括主要的抑郁、焦虑、淡漠、精神病、激越和攻击行为)的诊断和管理对于患者的护理结局至关重要。本文对认知障碍患者直至痴呆患者的神经行为和神经精神障碍的诊断方法和管理策略进行了实用综述。

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