当代技术对老年认知功能障碍(痴呆)患者的实验室诊断。

S. Ali
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摘要

痴呆症是一种严重的疾病,影响着全世界5500多万人。在老年患者中,它会导致记忆力和思维能力的全面下降。它会影响患者和患者周围的人,包括家人和护理人员。症状可能会变得非常严重,以至于患者进行日常活动的能力受到损害。本研究旨在搜索和收集有关现有实验室诊断方法对痴呆症患者的敏感性和特异性的信息,并确定这些方法是否能有效地给出具体和明确的诊断。本文综述了四种主要实验室检测方法的特异性和敏感性:血检、脑脊液、血浆生物标志物、激素检测和基因检测。每种方法都单独解释,详细说明了它们的重要性以及它们所筛选的具体参数。为了及时准确地诊断痴呆症及其各种类型,已经提出了许多血检和实验室诊断技术;然而,当考虑到这些技术的敏感性和特异性时,脑脊液(CSF)和血浆生物标志物被发现是最有效的。阿尔茨海默病(AD)和其他类型的痴呆症现在使用生物标志物淀粉样蛋白- (A)、tau和磷酸化tau (p-tau181)进行诊断。位于圣路易斯的华盛顿大学医学院(Washington University School of Medicine)发明的创新的precisivity AD测试,诊断准确率高达93%,可能被认为是高度敏感和特异的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Contemporary techniques to the laboratory diagnosis of cognitive dysfunction (Dementia) in elderly patients.
Dementia is a severe condition affecting more than 55 million people worldwide. In elderly patients, it leads to an overall decline in memory and thinking skills. It affects the patient and those around the patient, including family and caregivers. The symptoms can become so severe that the person's ability to perform everyday activities becomes compromised. This study aims to search and collect information about the sensitivity and specificity of available laboratory diagnostic methods for patients with Dementia and identify if these methods will be effective in giving a specific and definitive diagnosis. The specificity and sensitivity of four main laboratory testing methods have been included in this review: blood panels, cerebrospinal fluid, plasma biomarkers, hormone testing, and genetic testing. The methods are each explained separately with details of their importance and which specific parameters they screen for have haven included. Numerous blood panels and laboratory diagnostic techniques have been suggested for the timely and accurate diagnosis of Dementia and its various types; however, when the sensitivity and specificity of these techniques are considered, cerebrospinal fluid (CSF) and plasma biomarkers are found to be the most effective. Alzheimer's disease (AD) and other types of Dementia are now diagnosed using the biomarkers amyloid- (A), tau, and phosphorylated tau (p-tau181). With 93 percent accuracy in diagnosis, the innovative Precivity AD test created by the Washington University School of Medicine in St. Louis might be regarded as both highly sensitive and specific.
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