认知障碍伴发的精神行为症状的识别和干预

Identification and intervention of behavioral and psychological symptoms of cognition disorders

认知障碍(痴呆)伴发的精神行为症状(BPSD)是认知障碍较为常见的症状,贯穿疾病始终,并随疾病进程而改变。BPSD发生率高,症状复杂多变,目前对其认知不足,缺乏统一的诊疗标准。因此,现结合国内外有关BPSD诊治进展和我国的现状总结BPSD的识别、评估的关键点以及BPSD的干预策略。正确识别和有效干预BPSD可延缓认知障碍进展,改善认知障碍患者生活质量,减轻疾病负担,临床中应予以关注。

The behavioral and psychological symptoms of dementia(BPSD)is a common symptom of cognitive impairment throughout the disease,and change with the progression of the disease.The incidence of BPSD is high,and its symptoms are complex and changeable.However,the cognition of it is insufficient and there is no unified standard of diagnosis and treatment.Therefore,this article gathered the key points of the identification and evaluation of BPSD according to the development of diagnosis and treatment of BPSD and the current situation in China,and summarized the intervention strategies of BPSD.Correct identification and effective intervention of BPSD can delay the progression of dementia,improve the quality of life of patients,and reduce the burden of disease,which should be paid attention to in practice.