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left;"><strong>阿尔茨海默病及卒中后认知障碍患者数量攀升</strong></p><p style="text-indent: 2em; text-align: left;">《2016国际阿尔茨海默病协会报告》中指出：中国阿尔茨海默病患者人数呈现快速增长趋势，患者基数不断扩大，并成为老年人致死致残的主要原因之一。以ADC（中国老年保健协会老年痴呆及相关疾病专业委员会）为代表的社会公益团体，近年来通过不断的公众科普教育，在疾病的宣传教育上取得了一定的成效，体现为：疾病知晓率变高、就诊率变高、疾病耻感下降、照料者观念发生转变、一定程度的治疗依从性变好?！懊娑院蠊豢赡孀陌⒍暮Ｄ?，公众认知的转变有助于尽早诊断，在一定程度上缓解疾病给家庭和社会带来的沉重负担，应更广泛推行。”解恒革教授说。</p><p style="text-indent: 2em; text-align: left;"><strong>哪些人更容易患阿尔茨海默??？</strong></p><p style="text-indent: 2em; text-align: left;">解恒革教授介绍，阿尔茨海默病不是正常衰老的一部分，随着年龄的增长，患病风险越来越高。超过65岁，患病风险每五年翻一倍；到85岁时，几乎有一半以上的老人会存在认知功能障碍，这其中有些人会转变为阿尔茨海默病；女性相较于男性患病率更高；同时，直系家属中如有发病者、其家属的患病风险也有一定比例的增加。同时，已经有轻微认知功能障碍的人、有过头部创伤的人以及卒中后神经精神综合症的患者，患阿尔茨海默病的风险会有所增加。</p><p style="text-indent: 2em; text-align: left;"><strong>提升家庭预防观念，重视三条警示线可尽早诊断阿尔茨海默病</strong></p><p style="text-indent: 2em; text-align: left;">疾病的早期识别，通过“身边人”对老年人日常举止的观察是一条不错的识别途径；“一旦他们和平常不一样，就要尽早寻求专业医生帮助！”解恒革教授强调。日常关注老年人认知状态可牢记三条“警示线”：一是老年人自觉出现记忆问题；二是家人或照料者发现老年人出现认知问题；三是症状已对正常生活形成影响，如语言障碍、难以完成熟悉的工作等。</p><p style="text-indent: 2em; text-align: left;"><strong>卒中后认知障碍严重影响患者康复进程</strong></p><p style="text-indent: 2em; text-align: left;">“小卒中，大问题！卒中后认知障碍极大影响患者生活质量及康复质量?！?解恒革教授特别指出，在我们国家卒中后的康复管理中，不容忽视对认知问题的关注。卒中除引起运动、感觉、视觉障碍和吞咽困难外，还会导致焦虑抑郁、反应迟钝、记忆下降、失语、思维判断功能减退等问题。卒中所导致的认知方面的障碍可进一步加重卒中本身所致的残疾，加重患者、家庭与社会的负担。重视心脑血管病危险因素的防控和卒中后认知障碍，在医生指导下进行危险因素筛查、抑郁筛查和认知功能筛查，早诊断、早治疗，不但有助于卒中防控、卒中的康复以及减少残疾的发生，更有助于卒中后认知障碍的早期防治。</p><p style="text-indent: 2em; text-align: left;">通常情况下，三级甲等医院的记忆门诊、神经科、精神科、中医脑病科、老年科门诊可为老年人进行早期认知功能筛查和疾病诊断。确诊为阿尔茨海默病后，应接受规范的药物治疗，遵从疾病诊治指南的推荐：如服用胆碱酯酶抑制剂类药物（多奈哌齐、卡巴拉丁、加兰他敏等）；应避免盲从，结合实际情况选择符合老年人习惯的生活方式调整，丰富老年人的生活，让他们的认知功能“动起来”。建议已有阿尔茨海默病患者的家庭定期参加照护培训，科学的护理可改善患者生活质量，在一定程度上缓解家庭负担。</p><p style="text-indent: 2em; text-align: left;">相关阅读：</p><p style="text-indent: 2em; text-align: left;">中国人口福利基金会面对阿尔茨海默病老人发起 “黄手环行动”，旨在给予关爱、提高他们的生活质量。项目针对有走失危险的老人发放黄手环、针对社区医疗工作者开展专业培训、针对患者家庭和老人家庭进行知识普及、向全社会发出倡议消除社会歧视。</p></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：阿尔茨海默病易患人群认知障碍</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul class="Related_ul bh_150"> <li><a target="_blank" href="/c/2019-02-05/2279073.shtml">共祝农历新年好携手迈向新未来——外国政要祝贺中国春节</a></li> <li><a target="_blank" href="/c/2016-04-14/767105.shtml">2015年美国的人权纪录及2015年美国侵犯人权事记</a></li> <li><a target="_blank" href="/c/2017-10-15/1835843.shtml">德国内政部长提议设立伊斯兰节日遭党内“炮轰”</a></li> <li><a target="_blank" href="/c/2018-07-06/2104706.shtml">伊朗总统鲁哈尼呼吁国际社会抵御美“封油”威胁</a></li> <li><a target="_blank" href="/c/2016-02-14/697567.shtml">记者手记：难民?；屡分奕绾巍爸寡?/a></li> <li><a target="_blank" 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