认知筛选测试作为早期检测认知功能障碍的方法

Małgorzata Kwiatkowska, Weronika Hajec, N. Skierkowska, M. Muszalik
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摘要

认知障碍是老龄化社会中日益普遍的问题。随着年龄的增长,认知功能自然会减弱。然而,这一过程可能导致更严重的缺陷,如轻度认知障碍(MCI)和痴呆。识别高危患者,早期诊断认知障碍,监测患者病情,并采取适当的行动是非常重要的。认知障碍是通过神经心理学筛选测试来检测的,这种测试能够在早期阶段发现认知障碍。最常用的认知功能初步评估工具有:迷你精神状态检查(MMSE)、蒙特利尔认知评估(MoCA)、时钟绘制测试(CDT)、阿登布鲁克认知检查(ACE III)。早期发现MCI可以快速实施适当的干预措施,从而减缓或限制认知功能障碍的发展。早期诊断可以找到原因并减少导致痴呆症发展的可改变因素的不利影响。这些因素包括:叶酸水平降低、糖尿病和抑郁症。早期诊断还提供了适当规划患者护理的机会,包括患者有意识地参与做出此类决定。认知筛查测试也用于监测疾病的进展,这使您能够根据患者的病情和认知缺陷适当地做出反应并修改治疗计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cognitive Screening Tests as an Early Method of Detecting Cognitive Dysfunctions
Abstract Cognitive impairment is an increasingly common problem in aging societies. With age, cognitive functions are naturally weakened. However, this process may lead to more serious deficits such as mild cognitive impairment (MCI) and dementia. Identification of patients at high risk, early diagnosis of cognitive impairment and monitoring of the patient’s condition, as well as taking appropriate action is very important. Cognitive impairment is detected using neuropsychological screening tests that enable the detection of cognitive impairment in the early stages. The most commonly used tools for the initial assessment of cognitive functioning are: Mini Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Clock Drawing Test (CDT), Addenbrooke’s Cognitive Examination (ACE III). Early detection of MCI gives the opportunity to quickly implement appropriate interventions, which can slow down or limit the development of cognitive impairment. Early diagnosis allows to find the cause and reduce the adverse effects of modifiable factors that contribute to the development of dementia. Among these factors, there are: reduced levels of folic acid, diabetes and depression. Early diagnosis also gives the opportunity to plan the patient’s care appropriately, including the patient’s conscious participation in making such decisions. Cognitive screening tests are also used to monitor the progress of the disease, which allows you to respond appropriately and modify the treatment plan adequately to the patient’s condition and cognitive deficits.
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