More and more attention is paid to the standardized treatment, early diagnosis and early treatment of cognitive impairment. The reporter learned today that the Sixth People’s Hospital of Shanghai As a comprehensive tertiary hospital that has opened cognitive impairment clinics for more than ten years and has an annual admissions volume of more than 7,000 people, it has been successfully selected as the first batch of 23 national core advanced cognitive impairment diagnosis and treatment centers.
In order to further promote the standardized diagnosis and treatment process of cognitive impairment diseases, a tiered, graded and classified medical and health professional and technical personnel capacity building and talent training system has been established. Selection of a center for the diagnosis and treatment of cognitive impairment.
The Department of Geriatrics of the Sixth Hospital of the City has been treating patients with cognitive impairment such as Alzheimer’s disease for many years. Characterized by scientific research, as the main body of the application of the National Core Advanced Cognitive Impairment Diagnosis and Treatment Center, Professor Guo Qihao, director of the Department of Geriatrics, introduced that the Department of Geriatrics of the Sixth Hospital of Shanghai is the only clinical trial base for new drugs in the Department of Geriatrics in Shanghai, and it is also the national geriatrics department. The only National Core Advanced Cognitive Impairment Diagnosis and Treatment Center in the Department of Diseases, the department is equipped with a cognitive assessment room, a cognitive rehabilitation room, etc., featuring early evaluation and intervention, and focusing on providing each patient with an individualized diagnosis and treatment plan that suits his or her condition.
Dementia is a typical disease in the field of cognitive impairment. The most common type of dementia is Alzheimer’s disease, and it is also the most common cause of senile dementia.
“Alzheimer’s disease is a degenerative disease of the nervous system, and the etiology of the disease is hard to find. In China, 1 in 5 people over the age of 65 suffers from the disease. One out of every three people over the age of 80 suffers from the disease,this not only brings great inconvenience to the patient, but also brings a heavy burden to the family and society.” Professor Guo Qihao said that at present, the elderly Awareness of dementia is high, but consultation rates are low. This is because the forgetfulness caused by aging is difficult to distinguish from the forgetfulness of Alzheimer’s disease in the early stage of the disease. It is recommended that people over 50 years old should have a “memory checkup” every year to understand the characteristics of their memory, memory changes and prevention strategies.
It is reported that in addition to routine memory tests, the memory physical examination also includes cognitive function assessments such as language, attention, thinking, and spatial ability, daily living ability assessments, and behavioral and mental symptoms assessments.
Experts also reminded that people often forget things and can’t remember them later, and they may ask the same question repeatedly and forget the earlier answers; they are often angry, suspicious or afraid, which is very different from the original character ; language confusion, not using the right words… Don’t underestimate these signs, which are likely to be early signs of Alzheimer’s disease.
In the future, relying on the construction of the national core advanced cognitive impairment diagnosis and treatment center, the city’s sixth hospital will further improve the clinical medical level in the field of cognitive impairment, complete and enhance the basic research and clinical research capabilities, participate in domestic and foreign Compilation of guidelines and norms, establishment of an extensive tertiary diagnosis and treatment network and collaboration platform, and development of various forms of teaching and training.
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If the elderly around you have these symptoms, you should be vigilant:
1. Instant forgetting: often forgets things, and can’t remember them later, and may ask the same question repeatedly, forgetting the earlier answers.
2. Forgetting the past: For example, not remembering to bring the cooked meal to the table, or even completely forgetting the cooked meal.
3. Inadequate words: The language expression is confusing, and appropriate words are not used.
4. Difficulty judging time and place: You may get lost near your home, or forget how you got out of your home, and don’t know how to get home.
5. Impaired Judgment: May forget about children in their care and leave home.
6. Loss of abstract thinking ability: I often forget how to organize numbers, forget the deposit password set by myself, and forget the amount of my deposit.
7. Dispose of items at any time: often put items in inappropriate places, such as putting an electric iron in the freezer, or putting a watch in a biscuit box, or putting a lot of waste, such as rotten paper , The cloth head is treasured as a treasure, and I don’t know why.
8. Impermanent behavior: can change from a normal state to tears in a few minutes, can’t help it, or slaps the table and bursts into anger.
9. Personality changes: prone to anger, suspicion or fear, which is very different from the original personality.
10. Loss of initiative: often become lazier than before, unwilling to participate in any activities, even activities that I liked before, and are not enthusiastic about people.
Author: Tang Wenjia
Editor: Tang Wenjia
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Editor in charge: Fan Liping
Source: Interviewee
*Wenhui’s exclusive manuscript, please indicate the source for reprinting.