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当代阿耳茨海默病研究

Editor-in-Chief

ISSN (Print): 1567-2050
ISSN (Online): 1875-5828

Research Article

记忆诊所无痴呆认知障碍研究的概念框架

卷 17, 期 6, 2020

页: [517 - 525] 页: 9

弟呕挨: 10.2174/1567205017666200807193253

价格: $65

摘要

背景:对无认知障碍的痴呆症(CIND)进行识别和分类对诊断方法提出了进一步的挑战,因为改变客观损伤的临界值以及所考虑的神经心理学测试会显着影响诊断。因此,我们调查了精算神经心理学方法对CIND的临床细分的适用性,并量化了由客观认知障碍的各种神经心理学得出的诊断结果的变异性。 方法:从1/1/2016 /至1/1/2018从单中心记忆诊所招募1459名非痴呆,基于临床的个体,将其分为认知正常(NC),轻微认知症状(SCS),SSubtle认知衰退(SCD)或轻度认知障碍(MCI)通过不同的诊断策略,从而改变了诊断过程中涉及的客观认知评估的组成。 结果:我们比较了Jak / Bondi和Petersen / Winblad提出的两种标准来对CIND个体进行分类。根据采用的分类标准,提出了公认的NC,SCS,SCD和MCI百分比差异很大的范围。我们的数据表明,应用六个将CIND分为4个亚组(NC,SCS,SCD和MCI)的神经心理学评分,可以对所有非痴呆症患者进行分类,而不会出现重叠或遗漏。 结论:我们的研究为CIND分类系统的操作框架提供了临床支持,并强调了应用全面的神经心理学评估进行定义的价值。 SCS的概念被认为是适合临床前阶段的,被提出作为早期干预的症状定义。

关键词: 轻微的认知症状(SCS),微妙的认知能力下降(SCD),轻度认知障碍(MCI),阿尔茨海默氏病(AD),无痴呆的认知障碍(CIND),神经变性。

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