轻度认知障碍人群社区筛查与诊断管理策略的研究进展

doi:10.12114/j.issn.1007-9572.2023.0356

中国全科医学 ›› 2026, Vol. 29 ›› Issue (08): 1037-1043.DOI: 10.12114/j.issn.1007-9572.2023.0356

所属专题：阿尔茨海默病最新文章合辑；社区卫生服务最新研究合辑

• 论著·认知障碍专题研究 • 上一篇下一篇

轻度认知障碍人群社区筛查与诊断管理策略的研究进展

王晨瑜¹, 王晓艳², 张立秀¹, 王丽娜¹^,^*()

1．313000浙江省湖州市，湖州师范学院医学院、护理学院
2．313001浙江省湖州市仁皇山滨湖街道社区卫生服务中心科教质管科

收稿日期:2023-06-29 修回日期:2023-07-24 出版日期:2026-03-15 发布日期:2026-02-03
通讯作者: 王丽娜
作者贡献：
王晨瑜负责文章构思、文献检索及文章撰写工作；王晓艳负责文献检索工作；张立秀负责文章修订，质量控制与审校工作；王丽娜对文章进行整体构思，监督管理，对文章负责。
基金资助:
国家自然科学基金资助项目(72174061，71704053); 2023年浙江省医药卫生科技计划项目(2023KY1186); 湖州师范学院研究生科研创新项目(2023KYCX79); 浙江省大学生科技创新活动计划暨新苗人才计划项目(2022R431B022)

Advances in Community Screening and Diagnostic Management Strategies for Individuals with Mild Cognitive Impairment

WANG Chenyu¹, WANG Xiaoyan², ZHANG Lixiu¹, WANG Lina¹^,^*()

1. School of Medicine & Nursing, Huzhou University, Huzhou 313000, China
2. Department of Science Education and Quality Control, Binhu Subdistrict Community Health Center of Renhuangshan, Huzhou 313001, China

Received:2023-06-29 Revised:2023-07-24 Published:2026-03-15 Online:2026-02-03
Contact: WANG Lina

摘要/Abstract

摘要： 轻度认知障碍（MCI）的社区筛查与诊断对于痴呆的预防具有重要价值。目前，有关MCI人群的社区筛查与诊断管理仍未达成共识。本研究就MCI人群社区筛查与诊断的管理现状、筛查与诊断的具体项目、围诊断期支持进行了详细的评述，发现MCI社区筛查与诊断需从人群界定、病史采集、认知功能评定及辅助检查等方面进行全面评估，围诊断期支持应包含诊断后披露、诊断后支持计划的制订和诊断后支持指导等，提示社区医护人员应对MCI人群进行综合评估与诊断，并积极开展诊断后迅速支持行动，推动痴呆预防关口真正前移。

关键词: 认知功能障碍, 轻度认知障碍, 社区, 筛查, 诊断, 综述

Abstract:

Community screening and diagnosis of mild cognitive impairment (MCI) in the community are of great value in the prevention of dementia. Currently, there is still no consensus on the management of community screening and diagnosis in the MCI population. This study conducted a detailed review of the current management of community screening and diagnosis, specific items for screening and diagnosis, and peri-diagnostic support for the MCI population, and found that community screening and diagnosis of MCI need to be comprehensively assessed in terms of population definition, history taking, cognitive assessment and auxiliary testing; peri-diagnostic support should include post-diagnostic disclosure, development of post-diagnostic support program and guidance on post-diagnostic support. Thus, it is suggested that community healthcare workers should carry out comprehensive assessment and diagnosis of the MCI population, and actively carry out rapid post-diagnostic support actions to promote the dementia prevention to be really moved forward.

Key words: Cognitive dysfunction, Mild cognitive impairment, Community, Screening, Diagnosis, Review

中图分类号:

R 741

王晨瑜,王晓艳,张立秀,等. 轻度认知障碍人群社区筛查与诊断管理策略的研究进展[J]. 中国全科医学, 2026, 29(08): 1037-1043. DOI: 10.12114/j.issn.1007-9572.2023.0356.
WANG Chenyu,WANG Xiaoyan,ZHANG Lixiu, et al. Advances in Community Screening and Diagnostic Management Strategies for Individuals with Mild Cognitive Impairment[J]. Chinese General Practice, 2026, 29(08): 1037-1043. DOI: 10.12114/j.issn.1007-9572.2023.0356.

图/表 1

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轻度认知障碍人群社区筛查与诊断管理策略的研究进展

Advances in Community Screening and Diagnostic Management Strategies for Individuals with Mild Cognitive Impairment

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