阿尔茨海默病及相关病2025，Vol.8Issue(3)：147-163,187,18.DOI:10.3969/j.issn.2096-5516.2025.03.001
阿尔茨海默病多元康复干预中国专家共识(2025)
Consensus of Chinese experts on diversified rehabilitation interventions for Alzheimer's disease(2025)
摘要
Abstract
To better address the severe challenges of Alzheimer's disease(AD)prevention and control in China,the national government has published the National Action Plan for Addressing the elderly people with dementia.In order to accelerate the achievement of its core objectives,the Chinese Expert Consensus on Multidisciplinary Rehabilitation Interventions for Alzheimer's Disease has been formulated by integrating multidisciplinary expert opinions and evidence-based findings,using the Delphi method combined with GRADE evidence grading.This consensus advocates a"hospital-community-family"tripartite collaborative management model to standardize systematic and multidimensional approaches for the prevention,treatment,rehabilitation,and care of AD.This consensus deliver evidence-based guidance for tripartite stakeholders(healthcare providers,community networks,and family care systems)to operationalize healthy aging strategies through standardized AD management protocols..For preventive strategies,AD risk factors are categorized into low-,medium-,and high-risk tiers to guide the formulation of personalized prevention and intervention strategies.For therapeutic management,treatment regimens are stratified by AD clinical stages(mild/moderate/severe),incorporating Western pharmacotherapy,traditional Chinese medicine and neuromodulation techniques.Rehabilitation requires individualized protocols based on multidimensional assessments encompassing functional disability evaluations,personal preferences,and familial support systems,with active rehabilitation prioritized during early/mid-stages and passive interventions dominating advanced AD care.Rehabilitation measures include cognitive therapies(including cognitive training,cognitive stimulation,and cognitive rehabilitation),lifestyle modifications(featuring nutritional guidance and exercise regimens that combine aerobic,strength,and mind-body training),humanistic approaches(such as reminiscence and immersive technologies),art-based therapies(applying music,dance,and visual arts),nature-assisted therapies(through horticultural and animal-assisted interaction),as well as sensory modulation techniques(utilizing light therapy and aromatherapy).For moderate-to-advanced stage AD patients presenting with behavioral and psychological symptoms of dementia or profound cognitive-functional decline,care strategies should implement person-centered care frameworks to preserve self-identity,deliver integrated palliative support,and manage comorbidities through multidisciplinary coordination.关键词
阿尔茨海默病/多元干预/预防/治疗/康复/照护Key words
Alzheimer's disease/Diversified Interventions/Prevention/Treatment/Rehabilitation/Care分类
临床医学引用本文复制引用
王南卜,刘智,孙显东,杜晓霞,李建平,李晨钟,杨宇,杨智权,何霞,宋又强,张丽颖,马晓伟,张治国,胡瑞萍,徐珊,唐奇,曹传海,崔尧,崔韶阳,韩笑乐,樊继康,操驰,王国辉,宋鲁平,王军,阿尔茨海默病防治协会认知康复专业分会,王虹峥,邢岩,朱宁,乔立艳,乔晋,刘涛杰..阿尔茨海默病多元康复干预中国专家共识(2025)[J].阿尔茨海默病及相关病,2025,8(3):147-163,187,18.基金项目
国家重点研发计划(2023YFC3603200) （2023YFC3603200）
国家自然科学基金(32361143787) （32361143787）
广东省医学科研基金(A2022533) （A2022533）
深圳市南山区卫生健康系统科技重大项目(NSZD2023014) （NSZD2023014）
香港创新科技基金(ITF)大学中游研究计划(MRP/056/21) （ITF）
