中国全科医学2018,Vol.21Issue(12):1387-1391,5.DOI:10.3969/j.issn.1007-9572.2018.00.101
2017年AAN轻度认知功能障碍实践指南解读
Interpretation of the 2017 AAN Practice Guideline for Mild Cognitive Impairment
赵景茹 1吕佩源1
作者信息
- 1. 050051 河北省石家庄市,河北省人民医院神经内科
- 折叠
摘要
Abstract
The American Academy of Neurology(AAN) published the updated practice guideline on mild cognitive impairment(MCI) in Neurology in 2017.The new guideline detailedly introduces the assessment and management of MCI.It is suggested that clinicians should evaluate modifiable risk factors,functional impairment,behavioral/neuropsychiatric symptoms and dynamically monitor cognitive status of patients with MCI.Moreover,as controlling and treating modifiable risk factors, such as side effects of medications,sleep disturbance and depression,should be the first step in managing MCI,clinicians are suggested to wean patients from medications contributing to cognitive impairment.Furthermore,although there is no high-quality evidence in support of pharmacologic treatment for MCI,they can recommend MCI patients doing regular exercise twice a week, which might be beneficial for MCI as part of the overall treatment.The guideline also suggests that cognitive interventions might be recommended for MCI patients.关键词
轻度认知障碍/指南/疾病管理/评估Key words
Mild cognitive impairment/Guidebooks/Disease management/Assessment分类
医药卫生引用本文复制引用
赵景茹,吕佩源..2017年AAN轻度认知功能障碍实践指南解读[J].中国全科医学,2018,21(12):1387-1391,5.