Treatment for Alzheimer's disease

Nick C Fox, Christopher Belder, Clive Ballard, Helen C Kales, Catherine Mummery, Paulo Caramelli, Olga Ciccarelli, Kristian S Frederiksen, Teresa Gomez-Isla, Zahinoor Ismail, Claire Paquet, Ronald C Petersen, Robert Perneczky, Louise Robinson, Ozge Sayin, Giovanni B Frisoni
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Abstract

Over the last three decades, the evidence on how to best treat the cognitive and non-cognitive symptoms of patients with Alzheimer's disease has increased. Although these pharmacological and non-pharmacological strategies have significantly improved health outcomes for patients with Alzheimer's disease, many lack stringent evidence of efficacy. In this second paper of the Series, we provide practical and realistic advice on how to prioritise pharmacological and non-pharmacological strategies to ameliorate cognitive impairment and behavioural and psychological symptoms of dementia. In this clinical environment, dementia specialists are faced with the challenge of holistically integrating the much anticipated and, in some respects, controversial anti-β amyloid monoclonal antibodies. Here, we present the current approval scenario of monoclonal antibodies, our view on how they might further contribute to improve patients' quality of life, and how they could be seamlessly integrated with existing best care options.
治疗阿尔茨海默病
在过去的三十年里,关于如何最好地治疗阿尔茨海默病患者的认知和非认知症状的证据越来越多。尽管这些药物和非药物策略显著改善了阿尔茨海默病患者的健康结果,但许多策略缺乏有效的严格证据。在本系列的第二篇论文中,我们就如何优先考虑药物和非药物策略来改善痴呆症的认知障碍、行为和心理症状提供了实用和现实的建议。在这种临床环境中,痴呆症专家面临着全面整合备受期待和在某些方面有争议的抗β淀粉样蛋白单克隆抗体的挑战。在这里,我们介绍了目前单克隆抗体的批准情况,我们对它们如何进一步改善患者生活质量的看法,以及它们如何与现有的最佳护理方案无缝集成。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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