摘要
阿尔茨海默病是临床最常见的痴呆类型,它的发病是一个逐渐进展、加重、恶化的连续谱,临床研究发现阿尔茨海默病发病前15~20年既已出现主观认知下降的主诉和(或)客观认知障碍的影像学改变,此期称为临床前驱期,即主观认知下降,正如现代医学疾病强调的“窗口期”,在此期间医者如果能够将其加以重视,利用中医药治未病的优势,做到早期发现-早期诊断-早期干预-全程参与,无论对患者、医者还是社会都能起到积极的正面效应。现代医学有证据表明阿尔茨海默病的发生与心血管病有着很大的相关性,中医证候病机演变也显示从早期的病位在心,渐至脾胃,后及于肾。中医学治未病理念具有养生-保健-预防-康复于一体,特别是在未病先防和既病防变方面有着其特有的特色。文章就阿尔茨海默病前驱期主观认知下降进行了现代医学-传统中医-现代中医-病案验证的理论探讨,发现该病无论是西医还是中医都与心关系密切,而早期的中医药干预从心论治不仅可以有效地延缓痴呆前驱期向疾病期的转变,而且可以极大地改善患者的生活质量,在临床应用中也得到了很好的验证,从而为阿尔茨海默病发病前驱期主观认知下降从心论治提供了有力的立论支持和支撑,同时也为阿尔茨海默病的有效防治重点是要做到关口前移提供了参考和依据。
Alzheimer’s disease is the most common type of dementia in clinic,and its incidence is a continuous spectrum of gradual progress,aggravation and deterioration.Clinical studies have found that 15 to 20 years before the onset of Alzheimer’s disease,there have been complaints of subjective cognitive decline and/or imaging changes of objective cognitive impairment,A which is called clinical prodromal phase,that is,subjective cognitive decline.Modern medicine emphasizes the window period,during this period,if we can pay attention to it and make use of the advantages of preventive treatment of disease of TCM to achieve early detection-early diagnosis-early intervention-participation in the whole process,it can have a positive effect on patients,doctors and society.Modern medical evidence shows that there is a great correlation between the occurrence of Alzheimer’s disease and cardiovascular disease,and the evolution of TCM syndrome pathogenesis also shows that from the early location of the disease in the heart,gradually to the spleen and stomach,and later to the kidney.The concept of preventive treatment of disease in TCM has the characteristics of integration of health preservation,health care,prevention and rehabilitation,it has its unique characteristics in the aspects of preventing treatment of disease and preventing disease from exacerbating.This paper makes a theoretical discussion on the decline of subjective cognition of Alzheimer’s disease in the prodromal period of modern medicine-TCM medicine-modern TCM medicine-medical record verification,and finds that both western medicine and TCM medicine are closely related to the heart.The early intervention of TCM medicine can not only effectively delay the transformation from the prodromal stage of dementia to the disease stage,but also greatly improve the quality of life of patients.It has also been well verified in clinical application,which provides strong theoretical support and support for the decline of subjective cognition in the prodromal period of A
出处
《中医临床研究》
2024年第2期86-90,共5页
Clinical Journal Of Chinese Medicine
关键词
阿尔茨海默病
主观认知下降
从心论治
早期干预
Alzheimer’s disease
Decline in subjective cognition
Treatment from the heart
Early intervention
