| 胡亦新,范利.《痴呆患者衰弱评估与管理临床实践专家推荐意见》 解读与本土化实践路径思考[J].中国临床保健杂志,2025,28(4):433-438. |
| 《痴呆患者衰弱评估与管理临床实践专家推荐意见》 解读与本土化实践路径思考 |
| Interpretation of "Assessment and management of frailty in individuals living with dementia:expert recommendations for clinical practice" and reflections on localized practical pathways |
| 投稿时间：2025-07-20 |
| DOI：10.3969/J.issn.1672-6790.2025.04.001 |
| 中文关键词: 痴呆 衰弱 共病现象 健康影响评估 疾病管理 |
| 英文关键词: Dementia Frailty Comorbidity Health impact assessment Disease management |
| 基金项目:军队后勤科研项目(24BJZ26) |
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| 摘要点击次数: 8 |
| 全文下载次数: 6 |
| 中文摘要: |
| 衰弱与痴呆相互影响,增加了老年人不良预后风险和管理的复杂性。然而,目前尚缺少对两者共病管理策略的专家共识。2024年,国际老年医学、神经病学等领域18位专家采用文献回顾分析和临床实践讨论等方式,首次针对痴呆患者衰弱的评估和管理、营养状况管理、水化、运动干预、跌倒预防以及多重用药等关键问题提出16项推荐意见,发布了《痴呆患者衰弱评估与管理临床实践专家推荐意见》,填补了该领域临床实践指南的空白。该共识以维持痴呆合并衰弱患者的日常功能、提高生活质量和独立性为目标,重点强调早期评估、多学科共同管理、个性化干预、定期监测；同时共识建议将心理、社会支持融入临床治疗。本文对共识进行解读,并结合我国的老龄化现状和近年来各领域工作基础,提出本土化实践路径建议。 |
| 英文摘要: |
| Frailty and dementia mutually influence each other,increasing the risk of poor prognosis and the complexity of management in elderly individuals.However,there is currently a lack of expert consensus on management strategies for comorbidities of the two conditions.In 2024,18 international experts in fields such as geriatrics and neurology,using methods such as literature review analysis and clinical practice discussions,for the first time proposed 16 recommendations on key issues such as frailty assessment and management,nutritional status management,hydration,exercise intervention,fall prevention,and polypharmacy in patients with dementia.They published the "Assessment and management of frailty in individuals living with dementia:expert recommendations for clinical practice " filling a gap in clinical practice guidelines in this field.This consensus aims to maintain daily function,improve quality of life,and enhance independence in patients with dementia and comorbid frailty,emphasizing early assessment,multidisciplinary management,personalized intervention,and regular monitoring.Additionally,it suggests integrating psychological and social support into clinical treatment.This article interprets this consensus and,based on China′s aging population status and recent work foundations in various fields,proposes localized practical path suggestions. |
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