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[老年人记忆力减退的主诉]

[Complaints of memory loss in the elderly].

作者信息

Derouesné C

机构信息

Service de neurologie n. 3, hôpital de la Salpêtrière, Paris.

出版信息

Rev Prat. 1994 Jun 1;44(11):1432-5.

PMID:7939207
Abstract

Frequency of memory complaints increases with age. Such complaints can be the presenting symptom of Alzheimer's disease. Most cases, however, are not related to Alzheimer's disease. They are included in the constructs of benign senescent forgetfulness or age-associated memory impairment. In the later, memory complaints are considered as the subjective counterpart of the age-associated decline in memory test performance. Actually, memory complaints are associated with various factors: perceptual disorders, general health, functional disability, affective disturbances, psychosocial changes... The first step in the management of memory complaints is to rule out Alzheimer's disease and affective disturbances which could require specific therapeutic measures. Most often, memory complaints are the only presenting symptom: the signification of complaints should be analysed in each individual considering all the possibly causal factors in order to elaborate the appropriate management.

摘要

记忆问题的发生率随年龄增长而增加。此类问题可能是阿尔茨海默病的首发症状。然而,大多数情况与阿尔茨海默病无关。它们被纳入良性衰老性健忘或年龄相关性记忆损害的范畴。在后者中,记忆问题被视为与年龄相关的记忆测试表现下降的主观对应表现。实际上,记忆问题与多种因素相关:感知障碍、总体健康状况、功能残疾、情感障碍、心理社会变化……处理记忆问题的第一步是排除可能需要采取特定治疗措施的阿尔茨海默病和情感障碍。大多数情况下,记忆问题是唯一的首发症状:应针对每个个体,综合考虑所有可能的因果因素来分析问题的意义,以便制定适当的处理方法。

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