老年人认知功能量表 求LOTCA认知功能评定量表评分标准，急！
\u5f97\u4e86\u8001\u5e74\u75f4\u5446\u75c7\u5728\u533b\u9662\u8981\u68c0\u67e5\u4ec0\u4e48\uff1f\u3000\u3000\u8001\u9f84\u5316\u8d8b\u52bf\u8ba9\u8001\u5e74\u6027\u75f4\u5446\u60a3\u8005\u6570\u91cf\u589e\u591a \u968f\u7740\u73b0\u4ee3\u533b\u5b66\u7684\u53d1\u5c55\uff0c\u8d8a\u6765\u8d8a\u591a\u7684\u8001\u4eba\u53d8\u5f97\u5e74\u8f7b\u800c\u53c8\u5145\u6ee1\u4e86\u6d3b\u529b\u3002\u4f46\u662f\u8bf7\u4e0d\u8981\u5fd8\u8bb0\uff1a\u5728\u4e0d\u4e45\u7684\u5c06\u6765\uff0c\u6211\u56fd\u5c06\u8fdb\u5165\u8001\u9f84\u793e\u4f1a\u3002\u540c\u65f6\u4f34\u968f\u7740\u4e00\u4e2a\u4e0d\u53ef\u5ffd\u89c6\u7684\u95ee\u9898\u2014\u2014\u8001\u5e74\u75f4\u5446\u75c7\u7684\u53d1\u75c5\u7387\u5728\u9010\u5e74\u589e\u9ad8\u3002
\u3000\u3000\u8c03\u67e5\u53d1\u73b0\uff1a\u6211\u56fd\u5317\u65b9\u60a3\u8001\u5e74\u75f4\u5446\u7684\u5e73\u5747\u5e74\u9f84\u4e3a75\u300176\u5c81\uff0c\u60a3\u8840\u7ba1\u6027\u75f4\u5446\u7684\u5e74\u9f84\u591a\u572868\u5c81\u5de6\u53f3\u300265\u5c81\u4ee5\u4e0a\u4eba\u7fa4\u4e2d\u60a3\u91cd\u5ea6\u8001\u5e74\u75f4\u5446\u7684\u6bd4\u7387\u8fbe5%\u4ee5\u4e0a\uff0c\u800c\u523080\u5c81\uff0c\u6b64\u6bd4\u7387\u5c31\u4e0a\u5347\u523015-20%\u3002
\u3000\u3000\u8001\u5e74\u75f4\u5446\u60a3\u8005\u7684\u65e5\u5e38\u751f\u6d3b\u80fd\u529b\u4e0b\u964d\uff0c\u4ed6\u4eec\u4e0d\u8ba4\u8bc6\u914d\u5076\u3001\u5b50\u5973\uff0c\u7a7f\u8863\u3001\u5403\u996d\u3001\u5927\u5c0f\u4fbf\u5747\u4e0d\u80fd\u81ea\u7406\uff1b\u6709\u7684\u8fd8\u6709\u5e7b\u542c\u5e7b\u89c9\uff0c\u7ed9\u81ea\u5df1\u548c\u5468\u56f4\u7684\u4eba\u5e26\u6765\u65e0\u5c3d\u7684\u75db\u82e6\u548c\u70e6\u607c\u3002\u8001\u5e74\u75f4\u5446\u75c5\u4eba\u7684\u5e73\u5747\u751f\u5b58\u671f\u4e3a5.5\u5e74\uff0c\u8001\u5e74\u75f4\u5446\u75c7\u7ee7\u5fc3\u8840\u7ba1\u75c5\u3001\u8111\u8840\u7ba1\u75c5\u548c\u764c\u75c7\u4e4b\u540e\uff0c\u6210\u4e86\u8001\u4eba\u5065\u5eb7\u7684\u201c\u7b2c\u56db\u5927\u6740\u624b\u201d\u3002
\u3000\u3000\u75f4\u5446\u5df2\u4e0d\u662f\u8001\u5e74\u4eba\u7684\u201c\u4e13\u5229\u201d \u56db\u4e94\u5341\u5c81\u5c31\u75f4\u5446\u7684\u4eba\uff0c\u6570\u91cf\u4e5f\u5728\u9010\u5e74\u589e\u52a0\u3002\u4e0d\u53ea\u662f\u8001\u5e74\u4eba\uff0c50\u5c81\u7684\u5973\u513f\u966a\u540c80\u5c81\u8001\u6bcd\u4eb2\u770b\u75c5\uff0c\u7adf\u7136\u53cc\u53cc\u88ab\u8bca\u4e3a\u8001\u5e74\u75f4\u5446\uff1b47\u5c81\u5987\u5973\u4e22\u4e09\u843d\u56db\uff0c\u540c\u6837\u662f\u8001\u5e74\u75f4\u5446\u60f9\u7684\u7978\u2026\u2026\u8fd9\u4e9b\u90fd\u5728\u663e\u793a\uff0c\u60a3\u8001\u5e74\u75f4\u5446\u7684\u5e74\u9f84\u5728\u63d0\u524d\u3002\u8001\u5e74\u75f4\u5446\u9010\u6b65\u5448\u73b0\u5e74\u8f7b\u5316\u8d8b\u52bf\uff0c\u8840\u7ba1\u6027\u56e0\u7d20\u5728\u53d1\u75c5\u4e2d\u6240\u8d77\u7684\u4f5c\u7528\u4e5f\u65e5\u76ca\u7a81\u51fa\u3002
\u3000\u3000\u4e8b\u5b9e\u4e0a\uff0c\u8001\u5e74\u75f4\u5446\u5728\u4e2d\u5e74\u5c31\u5f00\u59cb\u6709\u75c7\u72b6\u548c\u53cd\u5e94\uff0c\u5982\u679c\u4e0d\u63d0\u65e9\u53d1\u73b0\u548c\u6cbb\u7597\uff0c\u7b49\u53d1\u5c55\u4e25\u91cd\u4e86\u5c31\u65e0\u6cd5\u6cbb\u6108\u4e86\u3002 \u75f4\u5446\u65e9\u5df2\u4e0d\u662f\u8001\u5e74\u4eba\u7684\u201c\u4e13\u5229\u201d\u4e86\u3002\u4e13\u5bb6\u8bf4\uff0c\u65e9\u671f\u7684\u75f4\u5446\u80fd\u6cbb\u597d\uff0c\u53ef\u8981\u771f\u7b49\u5230\u516d\u4e03\u5341\u5c81\u65f6\u5c31\u65e0\u6cd5\u6cbb\u7597\u4e86\u3002
\u3000\u3000\u6700\u521d\u5f81\u5146\u4ece\u5931\u5fc6\u5f00\u59cb
\u3000\u3000\u5c3d\u7ba1\u6700\u5e38\u89c1\u7684\u8001\u5e74\u6027\u75f4\u5446\u8fd8\u6ca1\u6709\u627e\u5230\u539f\u56e0\uff0c\u4f46\u662f\u6240\u6709\u7684\u75f4\u5446\u90fd\u662f\u6709\u5f81\u5146\u53ef\u5faa\u7684\uff0c\u800c\u6700\u521d\u7684\u5f81\u5146\u5c31\u662f\u5931\u5fc6\u3002\u4eba\u5165\u4e2d\u5e74\uff0c\u770b\u770b\u4f60\u6700\u8fd1\u662f\u4e0d\u662f\u7279\u522b\u7231\u5fd8\u4e8b\uff1f\u5982\u679c\u53ea\u662f\u5076\u5c14\u5fd8\u4e86\u4f46\u4e8b\u540e\u80fd\u6162\u6162\u56de\u5fc6\u8d77\u6765\uff0c\u8fd9\u90fd\u662f\u6b63\u5e38\u73b0\u8c61\u3002\u4f46\u5982\u679c\u7ecf\u5e38\u5fd8\u4e8b\uff0c\u4e14\u6709\u4e9b\u4e8b\u523b\u610f\u53bb\u8bb0\u8fd8\u4f1a\u5fd8\uff0c\u4e8b\u540e\u8fd8\u60f3\u4e0d\u8d77\u6765\uff0c\u751a\u81f3\u5f71\u54cd\u4e86\u5de5\u4f5c\u548c\u751f\u6d3b\uff0c\u6700\u597d\u5230\u533b\u9662\u505a\u4e2a\u68c0\u67e5\u3002
\u3000\u3000\u4f34\u968f\u7740\u201c\u5931\u5fc6\u201d\uff0c\u8fd8\u6709\u4e00\u4e9b\u5f88\u660e\u663e\u7684\u5f81\u5146\uff0c\u4f60\u4e0d\u59a8\u7ed9\u81ea\u5df1\u505a\u4e2a\u4e0b\u9762\u7684\u81ea\u6211\u6d4b\u8bd5\u3002 \u4e00\u65e6\u611f\u89c9\u4e0d\u5bf9\uff0c\u5343\u4e07\u522b\u4e0d\u5f53\u4e8b\uff0c\u6216\u6015\u522b\u4eba\u7b11\u8bdd\uff0c\u65e9\u671f\u5f81\u5146\u662f\u53ef\u4ee5\u6cbb\u597d\u7684\uff0c\u522b\u7b49\u5230\u786e\u8bca\u4e86\u518d\u6cbb\u3002
\u3000\u3000\u4e00\u822c\u4e0a\u8001\u5e74\u75f4\u5446\u75c7\u5e38\u5e38\u53d1\u751f\u572850\u5c81\u4ee5\u540e\uff0c\u8d77\u75c5\u9690\u6f5c\uff0c\u53d1\u5c55\u7f13\u6162\uff0c\u6700\u65e9\u671f\u5f80\u5f80\u662f\u4ee5\u9010\u6e10\u52a0\u91cd\u7684\u5065\u5fd8\u5f00\u59cb\uff0c\u5982\u679c\u4e0d\u6ce8\u610f\uff0c\u901a\u5e38\u4e0d\u5bb9\u6613\u53d1\u73b0\uff0c\u6309\u7167\u75c5\u60c5\u7684\u53d1\u5c55\uff0c\u53ef\u5927\u81f4\u5206\u4e3a\u4e09\u4e2a\u9636\u6bb5\uff1a
\u3000\u3000\u7b2c\u4e00\u9636\u6bb5\u4e5f\u79f0\u5065\u5fd8\u671f
\u3000\u3000\u8fd9\u671f\u7684\u8868\u73b0\u662f\u8bb0\u5fc6\u529b\u660e\u663e\u51cf\u9000\uff0c\u4f8b\u5982\u5f00\u59cb\u65f6\u5fd8\u8bb0\u8bb2\u8fc7\u7684\u8bdd\u3001\u505a\u8fc7\u7684\u4e8b\u6216\u91cd\u8981\u7684\u7ea6\u4f1a\u7b49\uff0c\u6162\u6162\u5730\u8fde\u8fdc\u4e8b\u4e5f\u9057\u5fd8\u4e86\u3002\u4e0e\u6b64\u540c\u65f6\uff0c\u601d\u7ef4\u5206\u6790\u3001\u5224\u65ad\u80fd\u529b\u3001\u89c6\u7a7a\u95f4\u8fa8\u522b\u529f\u80fd\u3001\u8ba1\u7b97\u80fd\u529b\u7b49\u4e5f\u6709\u6240\u964d\u4f4e\uff0c\u4f46\u6709\u65f6\u8fd8\u53ef\u4ee5\u4fdd\u6301\u8fc7\u53bb\u719f\u6089\u7684\u5de5\u4f5c\u6216\u6280\u80fd\u3002
\u3000\u3000\u7b2c\u4e8c\u9636\u6bb5\u4e5f\u79f0\u6df7\u4e71\u671f
\u3000\u3000\u8fd9\u65f6\u9664\u7b2c\u4e00\u9636\u6bb5\u7684\u75c7\u72b6\u52a0\u91cd\u5916\uff0c\u5f88\u7a81\u51fa\u7684\u8868\u73b0\u662f\u89c6\u7a7a\u95f4\u8fa8\u8ba4\u969c\u788d\u660e\u663e\u52a0\u91cd\uff0c\u5f88\u5bb9\u6613\u8ff7\u8def\u3002
\u3000\u3000\u8fd8\u6709\u7a7f\u8863\u4e5f\u5f88\u56f0\u96be\uff0c\u6216\u628a\u88e4\u5b50\u5f53\u8863\u670d\u7a7f\uff1b\u4e0d\u8ba4\u8bc6\u670b\u53cb\u6216\u4eb2\u4eba\u7684\u9762\u8c8c\uff0c\u4e5f\u8bb0\u4e0d\u8d77\u4ed6\u4eec\u7684\u540d\u5b57\uff0c\u4e0d\u80fd\u548c\u522b\u4eba\u4ea4\u8c08\uff0c\u5c3d\u7ba1\u6709\u65f6\u4f1a\u81ea\u8a00\u81ea\u8bed\u3002
\u3000\u3000\u7b2c\u4e09\u9636\u6bb5\u4e5f\u79f0\u6781\u5ea6\u75f4\u5446\u671f
\u3000\u3000\u75c5\u4eba\u8fdb\u5165\u5168\u9762\u8870\u9000\u72b6\u6001\uff0c\u751f\u6d3b\u4e0d\u80fd\u81ea\u7406\uff0c\u5982\u5403\u996d\u3001\u7a7f\u8863\u3001\u6d17\u6fa1\u5747\u9700\u4eba\u7167\u987e\uff0c\u4fbf\u5c3f\u5931\u7981\u3002
\u3000\u3000\u8001\u5e74\u75f4\u5446\u75c7\u7684\u5341\u5927\u8b66\u53f7
\u3000\u3000\u4e00\u3001 \u8bb0\u5fc6\u529b\u65e5\u6e10\u8870\u9000\uff0c\u5f71\u54cd\u65e5\u5e38\u8d77\u5c45\u6d3b\u52a8
\u3000\u3000\u4e8c\u3001 \u5904\u7406\u719f\u6089\u7684\u4e8b\u60c5\u51fa\u73b0\u56f0\u96be
\u3000\u3000\u4e09\u3001 \u5bf9\u65f6\u95f4\u3001\u5730\u70b9\u53ca\u4eba\u7269\u65e5\u6e10\u611f\u5230\u6df7\u6dc6
\u3000\u3000\u56db\u3001 \u5224\u65ad\u529b\u65e5\u6e10\u51cf\u9000
\u3000\u3000\u4e94\u3001 \u5e38\u628a\u4e1c\u897f\u4e71\u653e\u5728\u4e0d\u9002\u5f53\u7684\u5730\u65b9
\u3000\u3000\u516d\u3001 \u62bd\u8c61\u601d\u60f3\u5f00\u59cb\u51fa\u73b0\u95ee\u9898
\u3000\u3000\u4e03\u3001 \u60c5\u7eea\u8868\u73b0\u4e0d\u7a33\u53ca\u884c\u4e3a\u8f83\u524d\u663e\u5f97\u5f02\u5e38
\u3000\u3000\u516b\u3001 \u6027\u683c\u51fa\u73b0\u8f6c\u53d8
\u3000\u3000\u4e5d\u3001 \u5931\u53bb\u505a\u4e8b\u7684\u4e3b\u52a8\u6027
\u3000\u3000\u5341\u3001 \u660e\u4e86\u4e8b\u7269\u80fd\u529b\u53ca\u8bed\u8a00\u8868\u8fbe\u65b9\u51fa\u73b0\u56f0\u96be
\u3000\u3000\u8001\u5e74\u75f4\u5446\u7684\u9884\u9632
\u3000\u3000\u7531\u4e8e\u75f4\u5446\u7684\u75c5\u56e0\u4e0d\u540c\uff0c\u9884\u9632\u7684\u65b9\u6cd5\u4e5f\u4e0d\u540c\uff0c\u4e3b\u8981\u6709\u4ee5\u4e0b\u51e0\u4e2a\u65b9\u9762\uff1a
\u3000\u30001\u3001\u6539\u5584\u52b3\u52a8\u73af\u5883\u3002
\u3000\u30002\u3001\u5fcc\u9152\u548c\u6212\u70df\u3002
\u3000\u30003\u3001\u996e\u98df\u8c03\u8282\uff1a\u65e2\u8981\u9632\u6b62\u9ad8\u8102\u98df\u7269\u5f15\u8d77\u80c6\u56fa\u9187\u5347\u9ad8\uff0c\u53c8\u8981\u6444\u53d6\u5fc5\u8981\u7684\u8425\u517b\u7269\u8d28\uff0c\u5982\u86cb\u767d\u8d28\u3001\u65e0\u673a\u76d0\u7c7b\u3001\u6c28\u57fa\u9178\u53ca\u591a\u79cd\u7ef4\u751f\u7d20\uff0c\u7279\u522b\u662f\u7ef4\u751f\u7d20B1\u3001B2\u548cB6\u3001\u7ef4\u751f\u7d20C\u548c\u7ef4\u751f\u7d20E\u5bf9\u8001\u5e74\u4eba\u5f88\u91cd\u8981\u3002
\u3000\u30004\u3001\u4fdd\u6301\u7cbe\u795e\u6109\u5feb\u5229\u4e8e\u957f\u5bff\u53ca\u7cbe\u795e\u5065\u5eb7\u3002
\u3000\u30005\u3001\u8981\u5b89\u6392\u597d\u751f\u6d3b\u4e0e\u5b66\u4e60\uff1a\u5230\u4e86\u8001\u5e74\uff0c\u8fd8\u8981\u575a\u6301\u5b66\u4e60\u65b0\u77e5\u8bc6\uff0c\u4fdd\u6301\u4e0e\u793e\u4f1a\u5e7f\u6cdb\u7684\u63a5\u89e6\u3002
\u3000\u30006\u3001\u5728\u79bb\u9000\u4f11\u4e4b\u524d\uff0c\u8981\u5728\u601d\u60f3\u4e0a\u3001\u7269\u8d28\u4e0a\u505a\u597d\u4e00\u5207\u51c6\u5907\uff0c\u4e30\u5bcc\u7684\u751f\u6d3b\u5185\u5bb9\uff0c\u5e7f\u6cdb\u7684\u5174\u8da3\u548c\u7231\u597d\uff0c\u53ef\u4ee5\u4fc3\u8fdb\u8111\u529b\u6d3b\u52a8\uff0c\u8fd8\u53ef\u4ee5\u5ef6\u7f13\u6216\u51cf\u8f7b\u8870\u8001\u7684\u8fdb\u7a0b\u3002
\u3000\u30007\u3001\u5b9a\u671f\u8fdb\u884c\u4f53\u68c0\u3001\u53ca\u65e9\u6cbb\u7597\u8eaf\u4f53\u75be\u75c5\uff0c\u5bf9\u81ea\u5df1\u8eab\u4f53\u65e2\u8981\u91cd\u89c6\uff0c\u53c8\u4e0d\u53ef\u8fc7\u5206\u6ce8\u610f\u6216\u62c5\u5fc3\u3002
\u3000\u30008\u3001\u7ecf\u5e38\u7684\u6237\u5916\u6d3b\u52a8\uff1a\u8001\u5e74\u4eba\u9002\u5408\u8fdb\u884c\u8f83\u6301\u7eed\u3001\u8f83\u7684\u8fd0\u52a8\u9879\u76ee\uff0c\u5982\u6b65\u884c\u3001\u6162\u8dd1\u3001\u4f53\u64cd\u3001\u592a\u6781\u62f3\u3001\u592a\u6781\u5251\u53ca\u4f20\u7edf\u821e\u7b49\u3002
\u3000\u3000AD \u7684\u6cbb\u7597\u4e3b\u8981\u662f\u5e94\u7528\u4e59\u9170\u80c6\u78b1\u916f\u9176 (AchE) \u53ca\u6297\u514d\u75ab\u708e\u75c7\u3001\u6297\u6c27\u5316\u5242\u7b49\u5bf9\u75c7\u6cbb\u7597\u836f\u7269\uff0c\u4ee5\u6682\u65f6\u7f13\u89e3\u60a3\u8005\u8ba4\u77e5\u529f\u80fd\u51cf\u9000\u3002
\u3000\u3000\u4e2d\u836f\u6cbb\u7597\u9884\u9632\u8001\u5e74\u75f4\u5446\u7684\u539f\u7406\u65b9\u6cd5
\u3000\u3000\u6839\u636e\u4e2d\u56fd\u533b\u836f\u5b66\u9662\u4e2d\u56fd\u533b\u836f\u7814\u7a76\u6240\u5b9e\u9a8c\u53d1\u73b0\uff0c\u5929\u9ebb\u53ef\u6539\u5584\u5b66\u4e60\u8bb0\u5fc6\u969c\u788d\uff0c\u9664\u53ef\u4fdd\u5065\u517b\u8eab\uff0c\u66f4\u53ef\u9884\u9632\u6216\u6cbb\u7597\u8001\u5e74\u75f4\u5446\u75c7\u3002
\u3000\u3000\u5458\u6797\u4e2d\u533b\u5e08\u697c\u4e2d\u4eae\u7528\u5929\u9ebb\u5bf9\u8bb0\u5fc6\u969c\u788d\u4f5c\u7528\u7684\u7814\u7a76\uff0c\u53d1\u73b0\u5929\u9ebb\u4e2d\u4e3b\u8981\u6d3b\u6027\u6210\u5206\u5929\u9ebb\u5143\uff0c\u53ef\u589e\u52a0\u80be\u4e0a\u817a\u8377\u5c14\u8499\u5206\u6ccc\uff0c\u589e\u52a0\u4f53\u5185\u8840\u7cd6\u5229\u7528\uff0c\u8fdb\u800c\u6d3b\u5316\u8111\u90e8\u529f\u80fd\u3002\u697c\u4e2d\u4eae\u6307\u51fa\uff0c\u9664\u4e86\u514b\u670d\u8bb0\u5fc6\u969c\u788d\uff0c\u5728\u6cbb\u7597\u8001\u5e74\u75f4\u5446\u75c7\u65b9\u9762\uff0c\u4f20\u7edf\u4e2d\u533b\u836f\u5178\u5df2\u8bc1\u5b9e\u5929\u9ebb\u4e3b\u300c\u8bed\u591a\u604d\u60da\u3001\u591a\u60ca\u5931\u5fd7\u300d\uff0c\u6307\u7684\u5373\u4e3a\u8001\u4eba\u8bf4\u8bdd\u98a0\u4e09\u5012\u56db\u7684\u75c7\u72b6\u3002\u7ecf\u8fc7\u52a8\u7269\u5b9e\u9a8c\uff0c\u4e5f\u53d1\u73b0\u5929\u9ebb\u7528\u4e8e\u6cbb\u7597\u8001\u5e74\u75f4\u5446\u75c7\u6bd4\u897f\u533b\u76ee\u524d\u4f7f\u7528\u7684\u5904\u65b9\u8f83\u4f73\uff0c\u4e14\u897f\u836f\u8f83\u5177\u809d\u6bd2\u6027\uff0c\u5e76\u6709\u5934\u75db\u3001\u80a0\u80c3\u4e0d\u9002\u7b49\u526f\u4f5c\u7528\u3002
\u3000\u3000\u5728\u91c7\u8d2d\u4e0a\uff0c\u4ed6\u4e5f\u6307\u51fa\u5e02\u573a\u7ecf\u5e38\u6709\u4e0d\u826f\u836f\u5546\u4ee5\u4f2a\u54c1\u6216\u52a3\u54c1\u53d6\u4ee3\u5929\u9ebb\uff0c\u6d88\u8d39\u8005\u5728\u8d2d\u4e70\u65f6\u8981\u9009\u62e9\u8d28\u5730\u575a\u5b9e\u6c89\u91cd\u3001\u6709\u9e66\u54e5\u5634\u3001\u7eb5\u76b1\u7eb9\u7eb9\u7ec6\u3001\u65ad\u9762\u660e\u4eae\u8f83\u4f73\uff0c\u6b64\u6b63\u662f\u4e91\u5929\u9ebb\u7684\u4e3b\u8981\u660e\u663e\u7279\u5f81\u3002
\u3000\u3000\u5929\u9ebb\u6cbb\u7597\u8001\u5e74\u75f4\u5446\u75c7\u65b9
\u3000\u3000\u914d\u65b9\uff1a\u53d6\u5929\u9ebb10\u514b\uff0c\u732a\u81111\u4e2a\uff0c\u7cb3\u7c73250\u514b\u3002
\u3000\u3000\u914d\u5236\u65b9\u6cd5\uff1a
\u3000\u30001\u3001\u5929\u9ebb\u5207\u6210\u788e\u672b\u3002
\u3000\u30002\u3001\u7cb3\u7c73\u6dd8\u6d17\u5e72\u51c0\uff0c\u4e0e\u5929\u9ebb\u788e\u672b\u548c\u732a\u8111\u540c\u65f6\u5165\u9505\uff0c\u52a0\u6c34\u716e\u7ca5\uff0c\u4ee5\u8111\u719f\u4e3a\u5ea6\u3002
\u3000\u3000\u98df\u7528\u65b9\u6cd5\uff1a\u6bcf\u65e5\u6668\u8d77\u670d\u75281\u6b21\uff0c\u8fde\u670d2\uff5e7\u5929\u3002\u53ef\u7ecf\u5e38\u670d\u7528\u3002
\u3000\u3000\u5929\u9ebb\u6cbb\u7597\u4e2d\u98ce\u540e\u9057\u75c7\u65b9
\u3000\u3000\u914d\u65b9\uff1a\u5929\u9ebb10\u514b\uff0c\u5168\u874e3\u514b\u3002
\u3000\u3000\u914d\u5236\u65b9\u6cd5\uff1a\u5171\u7814\u4e3a\u7ec6\u672b\uff0c\u548c\u5300\u3002
\u3000\u3000\u98df\u7528\u65b9\u6cd5\uff1a\u6bcf\u670d2\u514b\uff0c\u70ed\u9152\u9001\u4e0b\u3002\u6bcf\u59291~2\u6b21\u300230\u5929\u4e3a1\u7597\u7a0b\uff0c\u53ef\u8fde\u670d2\u4e2a\u7597\u7a0b
\u3000\u3000\u8001\u5e74\u75f4\u5446\u4e0d\u5149\u662f\u662f\u7531\u4e8e\u751f\u7406\u539f\u56e0\u5f15\u8d77\uff0c\u5176\u5b9e\u8001\u5e74\u7684\u751f\u6d3b\u65b9\u5f0f\u548c\u5b64\u72ec\u4e5f\u662f\u5bfc\u81f4\u8001\u5e74\u75f4\u5446\u7684\u91cd\u8981\u539f\u56e0\uff0c\u7ed9\u8001\u5e74\u4eba\u4e00\u4e2a\u5065\u5eb7\u7684\u751f\u6d3b\u73af\u5883\u548c\u826f\u597d\u7684\u751f\u6d3b\u5fc3\u6001\u662f\u9884\u9632\u8001\u5e74\u75f4\u5446\u7684\u6700\u597d\u529e\u6cd5\uff0c\u671b\u5927\u5bb6\u591a\u62bd\u7a7a\u966a\u966a\u5e74\u8001\u7684\u7236\u6bcd\uff0c\u4e0d\u8981\u8ba9\u4ed6\u4eec\u611f\u5230\u5bc2\u5bde\u5b64\u5355\u3002
\u3000\u3000\u8001\u5e74\u75f4\u5446\u7684\u8bca\u65ad\u548c\u9274\u522b\u8bca\u65ad
\u3000\u3000\u8001\u5e74\u75f4\u5446\u662f\u6307\u610f\u8bc6\u6e05\u695a\u7684\u75c5\u4eba\uff0c\u7531\u4e8e\u5404\u79cd\u75be\u75c5\u800c\u5f15\u8d77\u6301\u7eed\u6027\u9ad8\u7ea7\u795e\u7ecf\u529f\u80fd\u7684\u5168\u9762\u969c\u788d\uff0c\u5305\u62ec\u8bb0\u5fc6\u3001\u89e3\u51b3\u65e5\u5e38\u751f\u6d3b\u95ee\u9898\u7684\u80fd\u529b\u3001\u5df2\u4e60\u5f97\u7684\u6280\u80fd\u3001\u6b63\u786e\u7684\u793e\u4ea4\u6280\u80fd\u548c\u63a7\u5236\u60c5\u7eea\u80fd\u529b\u7684\u969c\u788d\uff0c\u6700\u7ec8\u5bfc\u81f4\u7cbe\u795e\u529f\u80fd\u8870\u9000\u7684\u4e00\u7ec4\u540e\u5929\u83b7\u5f97\u7684\u7efc\u5408\u5f81\u3002\u5728\u75f4\u5446\u8fd9\u4e00\u5b9a\u4e49\u4e2d\u9700\u8981\u660e\u786e\u4ee5\u4e0b\u6982\u5ff5:1.\u75f4\u5446\u662f\u53d1\u751f\u5728\u610f\u8bc6\u6e05\u695a\u7684\u75c5\u4eba\uff0c\u4e0d\u540c\u4e8e\u5404\u79cd\u610f\u8bc6\u969c\u788d;2.\u5404\u79cd\u8eaf\u4f53\u75be\u75c5\u4e3a\u5176\u75c5\u56e0\uff0c\u4e0e\u5355\u7eaf\u7cbe\u795e\u969c\u788d\u5f15\u8d77\u7684\u5047\u6027\u75f4\u5446\u4e0d\u540c;3.\u75f4\u5446\u662f\u6301\u7eed\u5b58\u5728\uff0c\u81f3\u5c11\u89816\u4e2a\u6708\uff0c\u800c\u4e14\u901a\u5e38\u662f\u8fdb\u884c\u6027\u7684\uff0c\u4e0d\u662f\u4e00\u8fc7\u548c\u53d1\u4f5c\u6027;4.\u75f4\u5446\u662f\u9ad8\u7ea7\u795e\u7ecf\u529f\u80fd\u5168\u9762\u969c\u788d\uff0c\u800c\u5e76\u975e\u662f\u8111\u7684\u67d0\u4e00\u5c40\u90e8\u529f\u80fd\u969c\u788d;5.\u75f4\u5446\u662f\u540e\u5929\u83b7\u5f97\u7684\uff0c\u4e0e\u5148\u5929\u6027\u667a\u80fd\u4f4e\u4e0b\u4e0d\u540c;6.\u75f4\u5446\u662f\u4e00\u7efc\u5408\u5f81\uff0c\u53ef\u7531\u4e0d\u540c\u75c5\u56e0\u5f15\u8d77\uff0c\u800c\u5e76\u975e\u4ec5\u7531\u67d0\u4e00\u79cd\u7279\u6b8a\u75be\u75c5\u5f15\u8d77\u3002
\u3000\u3000\u4e00\u3001\u9996\u5148\u786e\u5b9a\u662f\u5426\u75f4\u5446
\u3000\u30001.\u75f4\u5446\u8bca\u65ad\u7684\u6807\u51c6(DSM\u4e00\u73ed\u4e00R)
\u3000\u3000(1)\u6709\u8bc1\u636e\u8868\u660e\u6709\u8fd1\u671f\u548c\u8fdc\u671f\u8bb0\u5fc6\u969c\u788d\uff0c
\u3000\u3000(2)\u81f3\u5c11\u5177\u5907\u4e0b\u5217\u4e00\u6761:
\u3000\u3000\u2460\u62bd\u8c61\u601d\u7ef4\u969c\u788d;
\u3000\u3000\u2461\u5224\u65ad\u529b\u969c\u788d;
\u3000\u3000\u2462\u5176\u5b83\u76ae\u5c42\u9ad8\u7ea7\u529f\u80fd\u635f\u5bb3\uff0c\u5982\u5931\u8bed\u3001\u5931\u7528\u3001\u5931\u8ba4\u7b49;
\u3000\u3000\u2463\u4eba\u683c\u6539\u53d8\u3002
\u3000\u3000(3)\u524d\u2460\u2461\u9879\u969c\u788d\uff0c\u5f71\u54cd\u5de5\u4f5c\u3001\u65e5\u5e38\u793e\u4ea4\u6d3b\u52a8\u548c\u4eba\u9645\u5173\u7cfb;
\u3000\u3000(4)\u4e0d\u53ea\u662f\u53d1\u751f\u5728\u6fb9\u5984\u72b6\u6001\u4e0b;
\u3000\u3000(5)\u4e0b\u5217\u4e2d\u4efb\u4f55\u4e00\u9879:
\u3000\u3000\u2460\u7279\u5f02\u7684\u5668\u8d28\u6027\u56e0\u7d20\u6709\u5173\u8fde;
\u3000\u3000\u2461\u4e0d\u80fd\u7531\u4efb\u4f55\u975e\u5668\u8d28\u6027\u7cbe\u795e\u75be\u75c5\u6240\u89e3\u91ca\u3002
\u3000\u3000.2.\u8be6\u7ec6\u91c7\u96c6\u75c5\u53f2\u4e0e\u4ee5\u5f80\u667a\u80fd\u548c\u884c\u4e3a\u7b49\u8fdb\u884c\u5bf9\u6bd4
\u3000\u30003.\u795e\u7ecf\u5fc3\u7406\u5b66\u6d4b\u9a8c
\u3000\u3000\u5bf9\u4e00\u4e2a\u53ef\u7591\u75f4\u5446\u75c5\u4eba\uff0c\u9996\u5148\u8981\u8bc4\u5b9a\u6709\u65e0\u8ba4\u77e5\u969c\u788d\uff0c\u969c\u788d\u7d2f\u53ca\u4e86\u54ea\u4e9b\u529f\u80fd\uff0c\u4ee5\u53ca\u969c\u788d\u7684\u4e25\u91cd\u7a0b\u5ea6\uff0c\u8fd9\u5c31\u8981\u8fdb\u884c\u795e\u7ecf\u5fc3\u7406\u5b66\u6d4b\u9a8c\u3002\u5b83\u5305\u62ec\u6ce8\u610f\u4e0e\u96c6\u4e2d\u3001\u5b9a\u5411\u3001\u8bb0\u5fc6\u3001\u8ba1\u7b97\u3001\u8bed\u8a00\u3001\u62bd\u8c61\u601d\u7ef4\u3001\u7a7a\u95f4\u77e5\u89c9\u3001\u7ed3\u6784\u80fd\u529b\u3001\u8fd0\u7528\u3001\u8ba4\u77e5\u7075\u6d3b\u6027\u548c\u901f\u5ea6\u7b49\uff0c\u6b64\u5916\u8fd8\u5305\u62ec\u793e\u4f1a\u9002\u5e94\u80fd\u529b\u3001\u4eba\u9645\u5173\u7cfb\u548c\u751f\u6d3b\u80fd\u529b\u4ee5\u53ca\u4e2a\u6027\u4e0a\u7684\u6539\u53d8\u5373\u6240\u8c13\u884c\u4e3a\u8bc4\u5b9a\u3002\u5fc3\u7406\u5b66\u6d4b\u9a8c\u5c31\u662f\u5bf9\u8fd9\u4e9b\u5fc3\u7406\u73b0\u8c61\u6240\u8868\u73b0\u51fa\u7684\u884c\u4e3a\u6837\u672c\u8fdb\u884c\u5ba2\u89c2\u7684\u6807\u51c6\u6d4b\u91cf\uff0c\u5b83\u628a\u5fc3\u7406\u73b0\u8c61\u8fdb\u884c\u6570\u91cf\u5316\u7684\u63cf\u8ff0\uff0c\u662f\u91c7\u53d6\u4e00\u5957\u4e25\u683c\u8bbe\u8ba1\u7684\u95ee\u9898\u6216\u4f5c\u4e1a(\u5373\u6807\u51c6\u7a0b\u5e8f)\u7531\u88ab\u8bd5\u8005\u56de\u7b54\u6216\u5b8c\u6210\uff0c\u7136\u540e\u5bf9\u56de\u7b54\u7684\u60c5\u51b5\u8fdb\u884c\u8bc4\u5b9a\u3002\u5176\u4f18\u70b9\u662f\u8d44\u6599\u7684\u6536\u96c6\u4e0e\u89e3\u91ca\u662f\u6807\u51c6\u7684\uff0c\u4f7f\u5f97\u6709\u53ef\u80fd\u63d0\u9ad8\u8bca\u65ad\u7684\u51c6\u786e\u6027\uff0c\u540c\u65f6\u5bf9\u4e0d\u540c\u6765\u6e90\u7684\u8d44\u6599\u53ef\u4ee5\u6bd4\u8f83\u501f\u9274\uff0c\u662f\u786e\u5b9a\u75f4\u5446\u5fc5\u4e0d\u53ef\u5c11\u7684\u5de5\u5177\u3002\u4f46\u662f\u6bcf\u4e00\u6d4b\u9a8c\u91cf\u8868\u4e0d\u662f\u5341\u5168\u5341\u7f8e\uff0c\u5305\u7f57\u4e07\u8c61\uff0c\u6545\u9700\u591a\u79cd\u91cf\u8868\u68c0\u6d4b\u5e76\u7ed3\u5408\u4e34\u5e8a\u6240\u89c1\u8fdb\u884c\u7efc\u5408\u5206\u6790\u3001\u5224\u65ad\u3002
\u3000\u3000\u5e38\u7528\u7684\u91cf\u8868\u5305\u62ec\u4ee5\u4e0b\u51e0\u79cd:
\u3000\u3000(1)\u7b80\u77ed\u7cbe\u795e\u8bb0\u5fc6\u91cf\u8868(MMSE ):\u603b\u5206\u4e3a30\u5206\u3002\u6587\u76f2X17\u5206\uff0c\u5c0f\u5b66\u6587\u5316\u7a0b\u5ea6\u843d20\u5206\uff0c\u4e2d\u5b66\u6587\u5316\u7a0b\u5ea6\u7c0724\u5206\uff0c\u4e3a\u8ba4\u77e5\u529f\u80fd\u7f3a\u635f\u3002
\u3000\u3000(2)\u957f\u8c37\u5ddd\u7b80\u6613\u667a\u80fd\u6d4b\u91cf\u8868(HDS ):\u603b\u520632.5\u5206\u3002\u6587\u76f2-15\u5206\uff0c\u5c0f\u5b66\u7a0b\u5ea6,19\u5206\uff0c\u4e2d\u5b66\u6216\u4ee5\u4e0a\u854a23\u5206\u4e3a\u8ba4\u77e5\u529f\u80fd\u969c\u788d\u3002
\u3000\u3000(3)\u7cbe\u795e\u8ba4\u77e5\u80fd\u529b30\u9898(CCSE):\u603b\u520630\u5206\uff0c\u611f20\u5206\u6709\u8ba4\u77e5\u529f\u80fd\u7f3a\u635f\u3002
\u3000\u3000(4)\u5e38\u8bc6\u4e00\u8bb0\u5fc6\u4e00\u6ce8\u610f\u6d4b\u9a8c(1MCT ):\u603b\u520636\u5206\u3002\u6587\u76f2-<19\u5206\uff0c\u5c0f\u5b66\u854a23\u5206\uff0c\u4e2d\u5b66\u4ee5\u4e0a\u86cb26\u5206\uff0c\u4e3a\u8ba4\u77e5\u529f\u80fd\u7f3a\u635f\u3002
\u3000\u3000(5)\u65e5\u5e38\u751f\u6d3b\u80fd\u529b\u91cf\u8868(ADL):\u603b\u520620\u5206\u4e3a\u6b63\u5e38\uff0c\u603b\u5206>\u52a0\u5206\u5373\u6709\u4e0d\u540c\u7a0b\u5ea6\u529f\u80fd\u4e0b\u964d\uff0c\u6709\u4e24\u9879\u4ee5\u4e0a\u529f\u80fd\u4e27\u5931\u6216\u603b\u5206>26\u8ba4\u4e3a\u65e5\u5e38\u751f\u6d3b\u80fd\u529b\u7f3a\u635f\u3002
\u3000\u3000(6)\u793e\u4f1a\u529f\u80fd\u6d3b\u52a8\u8c03\u67e5(FAQ):\u603b\u5206\u8303\u56f40\u4e0020\u5206\uff0c\u8be5\u9879\u6d3b\u52a8\u80fd\u529b\u51cf\u9000\u8bc41\u5206\uff0c\u80fd\u529b\u4e27\u5931\u8bc42\u5206\u3002\u67092\u9879\u62162\u9879\u4ee5\u4e0a\u6d3b\u52a8\u80fd\u529b\u4e27\u5931\u5373\u6709\u793e\u4f1a\u529f\u80fd\u7f3a\u635f\u3002\u82e5\u4ee5\u603b\u5206\u8ba1\uff0c\u591a5\u5206\u4e3a\u793e\u4f1a\u529f\u80fd\u7f3a\u635f\u3002
\u3000\u3000(7)\u6c49\u5bc6\u987f\u6291\u90c1\u91cf\u8868(HRSD):\u4e34\u5e8a\u4e0a\u5224\u5b9a\u6291\u90c1\u72b6\u6001\u6700\u5e38\u7528\u91cf\u8868\uff0c\u5927\u90e8\u5206\u9879\u76ee\u91c7\u75285\u7ea7\u8bc4\u5206\u6cd5\uff0c\u5c11\u90e8\u5206\u9879\u76ee\u6309\u4e09\u7ea7\u8bc4\u5206\uff0c\u6839\u636e\u7cbe\u795e\u72b6\u6001\u68c0\u67e5\u53ca\u4e34\u5e8a\u89c2\u5bdf\u540e\u7efc\u5408\u8bc4\u5b9a\uff0c\u603b\u5206\u8d85\u8fc735\u5206\u53ef\u80fd\u4e3a\u4e25\u91cd\u6291\u90c1\uff0c\u8d85\u8fc720\u5206\u53ef\u80fd\u4e3a\u8f7b\u6216\u4e2d\u7b49\u6291\u90c1\uff0c\u5c0f\u4e8e8\u5206\u6ca1\u6709\u6291\u90c1\u3002
\u3000\u3000(8)\u603b\u4f53\u8870\u8001\u91cf\u8868(GDS):\u8bc4\u4f30\u75f4\u5446\u7684\u4e25\u91cd\u7a0b\u5ea6\uff0c\u5171\u5206\u4e03\u7ea7\uff0c\u6bcf\u4e00\u7ea7\u7684\u8bc4\u5b9a\u5747\u6709\u8be6\u7ec6\u63cf\u8ff0\u6027\u5b9a\u4e49\u3002
\u3000\u3000(9)\u4e34\u5e8a\u75f4\u5446\u8bc4\u5b9a\u8868(CDR):\u8bc4\u4f30\u75f4\u5446\u7684\u4e25\u91cd\u7a0b\u5ea6\uff0c\u53ea\u6709\u5f53\u635f\u5bb3\u7531\u4e8e\u8ba4\u77e5\u529f\u80fd\u7f3a\u635f\u65f6\u624d\u8bb0\u4e3aCDR 0.5(\u53ef\u7591\u75f4\u5446),CDR 1.0(\u8f7b\u5ea6\u75f4\u5446)\uff0cCDR 2.0(\u4e2d\u5ea6\u75f4\u5446),CDR 3.0(\u91cd\u5ea6\u75f4\u5446)\u3002
\u3000\u3000(10)\u54c8\u91d1\u65af\u7f3a\u8840\u8bc4\u5206(HIS):\u7528\u4e8e\u533a\u5206\u8840\u7ba1\u6027\u75f4\u5446\u548c\u975e\u8840\u7ba1\u6027\u75f4\u5446\uff0c\u603b\u520618\u5206\uff0c}7\u5206\u4e3a\u8840\u7ba1\u6027\u75f4\u5446\uff0c,4\u5206\u4e3a\u975e\u8840\u7ba1\u6027\u75f4\u5446\uff0c\u4e3b\u8981\u4e3aAD.
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\u3000\u3000(I)\u75c7\u6027\u5047\u6027\u75f4\u5446(Ganser\u7efc\u5408\u5f81):\u901a\u5e38\u7a81\u7136\u53d1\u751f\uff0c\u60a3\u8005\u80fd\u7406\u89e3\u63d0\u51fa\u7684\u95ee\u9898\uff0c\u4f46\u4f5c\u51fa\u6781\u4e3a\u8352\u5ed6\u7684\u56de\u7b54\uff0c\u7ed9\u4eba\u4e00\u79cd\u597d\u8c61\u6545\u610f\u5f00\u73a9\u7b11\u7684\u5370\u8c61\uff0c\u4e5f\u53ef\u51fa\u73b0\u529f\u80fd\u6027\u795e\u7ecf\u75c7\u72b6\uff0c\u591a\u89c1\u4e8e\u5f3a\u70c8\u7cbe\u795e\u521b\u4f24\u6216\u538b\u529b\u4e0b\u4ea7\u751f\uff0c\u6697\u793a\u6027\u5f3a\u3002
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\u3000\u3000(4)\u6fb9\u5984\u72b6\u6001:\u8001\u5e74\u4eba\u5e38\u5728\u8eaf\u4f53\u6027\u75be\u75c5\u635f\u4f24\uff0c\u624b\u672f\u540e\u51fa\u73b0\u6fb9\u5984\u72b6\u6001\uff0c\u8bb0\u5fc6\u529b\u548c\u5b9a\u5411\u969c\u788d\u8c8c\u4f3c\u75f4\u5446\uff0c\u4f46\u6fb9\u5984\u72b6\u6001\u7a81\u7136\u53d1\u751f\uff0c\u75c7\u72b6\u6ce2\u52a8\uff0c\u591c\u95f4\u8f83\u91cd\uff0c\u5bf9\u73af\u5883\u523a\u6fc0\u6216\u5e7b\u89c9\u7684\u53cd\u5e94\u5feb\u901f\u3001\u5f3a\u70c8\uff0c\u4e0e\u75f4\u5446\u7684\u6de1\u6f20\u3001\u5446\u6ede\u4e0d\u540c\u3002
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\u3000\u3000(1)\u4ee5\u75f4\u5446\u4e3a\u4e3b\u8981\u75c7\u72b6\u7684\u795e\u7ecf\u7cfb\u7edf\u75be\u75c5\u3002
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\u3000\u3000\u2460\u5185\u5206\u6ccc\u7cfb\u7edf\u75be\u75c5:\u7532\u72b6\u817a\u673a\u80fd\u51cf\u9000\uff0c\u80be\u4e0a\u817a\u76ae\u8d28\u673a\u80fd\u4f4e\u4e0b\uff0c\u7532\u72b6\u65c1\u817a\u529f\u80fd\u51cf\u4f4e\u7b49\u3002
\u3000\u3000\u2461\u4ee3\u8c22\u6027\u75be\u75c5:\u4f4e\u8840\u7cd6\uff0c\u9ad8\u9499\u6216\u4f4e\u9499\u8840\u75c7\uff0c\u9ad8\u94a0\u6216\u4f4e\u94a0\u8840\u75c7\u7b49\u3002
\u3000\u3000\u2462\u6d88\u5316\u7cfb\u7edf\u75be\u75c5:\u809d\u6027\u8111\u75c5\uff0c\u5438\u6536\u4e0d\u826f\u7efc\u5408\u5f81\u7b49\u3002
\u3000\u3000\u2463\u6ccc\u5c3f\u7cfb\u7edf\u75be\u75c5:\u5c3f\u6bd2\u75c7\uff0c\u8fdb\u884c\u6027\u900f\u6790\u8111\u75c5\u7b49\u3002
\u3000\u3000\u2464\u547c\u5438\u7cfb\u7edf\u75be\u75c5:\u80ba\u6027\u8111\u75c5\u7b49\u3002
\u3000\u3000\u2465\u7ed3\u7f14\u7ec4\u7ec7\u75c5:\u64ad\u6563\u6027\u7ea2\u6591\u72fc\u75ae\uff0c\u767d\u585e\u6c0f\u75c5\u7b49\u3002
\u3000\u3000\u2466\u8840\u6db2\u7cfb\u7edf\u75be\u75c5:\u767d\u8840\u75c5\u7b49\u3002
\u3000\u3000\u2467\u5faa\u73af\u7cfb\u7edf\u75be\u75c5:\u5fc3\u810f\u9aa4\u505c\u590d\u82cf\u540e\uff0c\u5fc3\u8870\u7b49\u3002
\u3000\u3000\u2468\u5404\u79cd\u6076\u6027\u80bf\u7624:\u8111\u3001\u8111\u819c\u8f6c\u79fb\u4ee5\u53ca\u975e\u8f6c\u79fb\u6027\u764c\u80bf\u6027\u8111\u75c5\u3002
\u3000\u30002.\u786e\u5b9a\u5f15\u8d77\u75f4\u5446\u7684\u539f\u56e0
\u3000\u3000(1)\u786e\u5b9a\u75f4\u5446\u662f\u5426\u4e3a\u5168\u8eab\u7cfb\u7edf\u75be\u75c5\u7684\u4e00\u90e8\u5206\u3002
\u3000\u3000\u2460\u8be6\u7ec6\u8be2\u95ee\u75c5\u53f2\uff0c\u65e2\u5f80\u53f2\uff0c\u8fdb\u884c\u5168\u9762\u7684\u4f53\u683c\u68c0\u67e5\u548c\u5e38\u89c4\u5b9e\u9a8c\u5ba4\u68c0\u67e5\u3002
\u3000\u3000\u2461\u6839\u636e\u2460\u6240\u5f97\u7ed3\u679c\u63d0\u51fa\u786e\u5b9a\u6216\u6392\u9664\u7684\u9488\u5bf9\u6027\u8fdb\u4e00\u6b65\u68c0\u67e5\u9879\u76ee\u3002
\u3000\u3000(2)\u786e\u5b9a\u75f4\u5446\u662f\u5426\u4e3a\u795e\u7ecf\u7cfb\u7edf\u75be\u75c5\u7684\u4e00\u90e8\u5206
\u3000\u3000\u2460\u8be6\u7ec6\u8be2\u95ee\u75c5\u53f2\u3001\u65e2\u5f80\u53f2\uff0c\u5e76\u8fdb\u884c\u5168\u9762\u7cbe\u795e\u72b6\u6001\u3001\u795e\u7ecf\u7cfb\u7edf\u4f53\u68c0\u548c\u5e38\u89c4\u5b9e\u9a8c\u5ba4\u68c0\u67e5\u3002
\u3000\u3000\u2461\u6839\u636e\u2460\u6240\u5f97\u7ed3\u679c\u63d0\u51fa\u9700\u786e\u5b9a\u6216\u6392\u9664\u7684\u795e\u7ecf\u7cfb\u7edf\u75be\u75c5\u9488\u5bf9\u6027\u8fdb\u4e00\u6b65\u68c0\u67e5\uff0c\u53ef\u9009\u62e9\u4ee5\u4e0b\u68c0\u67e5\u9879\u76ee:
\u3000\u3000\u8111\u7535\u56fe\u52a8\u6001\u89c2\u5bdf\uff0c\u8bf1\u53d1\u7535\u4f4d\uff0c\u51e000, T CD\uff0c\u9885\u8111MRI, SPECT, PET\uff0c\u8111\u810a\u6db2\u53ca\u8840\u6e05\u4e2d\u7279\u6b8a\u751f\u5316\u68c0\u6d4b\u5982tau\u86cb\u767d\u7b49\uff0c\u8111\u53ca\u5468\u56f4\u795e\u7ecf\u6d3b\u68c0\uff0c\u8fdb\u884c\u75c5\u7406\u7ec4\u7ec7\u5b66\u3001\u514d\u75ab\u7ec4\u5316\u4e0e\u5206\u5b50\u751f\u7269\u5b66\u68c0\u67e5\u3002
\u3000\u30003.\u5e38\u89c1\u75f4\u5446\u7684\u75c5\u56e0\u8bca\u65ad\u8981\u70b9
\u3000\u3000(1) Alzheimer's\u75c5
\u3000\u3000lONINCDS\u4e00ADHDA\u4e4bAlzheimer's\u75c5\u8bca\u65ad\u6807\u51c6:\u5206\u53ef\u80fd\u7684Alzheimer's\u75c5\uff0c\u5f88\u53ef\u80fd\u7684Alzheimer's\u75c5\uff0c\u80af\u5b9a\u7684Alzheimer's\u75c5\u3002.
\u3000\u3000\u2461\u4ee5\u4e0b\u51e0\u70b9\u6709\u52a9\u4e8eAD\u7684\u4e34\u5e8a\u8bca\u65ad:\u795e\u7ecf\u5fc3\u7406\u5b66\u6d4b\u9a8c\u8bc1\u5b9e\u6709\u75f4\u5446;\u7f13\u6162\u8d77\u75c5\uff0c\u9010\u6e10\u52a0\u91cd\uff0c\u65e0\u4e2d\u98ce\u53f2;\u795e\u7ecf\u5fc3\u7406\u969c\u788d\u91cd\uff0c\u795e\u7ecf\u529f\u80fd\u7f3a\u635f\u8f7b;\u5934\u9885CT,MRI\u663e\u793a\u5f25\u6f2b\u6027\u8111\u840e\u7f29\uff0c\u65e0\u5c40\u7076\u6027\u75c5\u53d8;Hackinski\u8bc4\u5206\u5c11\u4e8e4\u5206;SPECT\u793a\u53cc\u4fa7\u9896\u3001\u9876\u3001\u6795\u76ae\u5c42\u8840\u6d41\u91cf\u5bf9\u79f0\u51cf\u4f4e\u3002\u6700\u540e\u786e\u8bca\u5c1a\u9700\u75c5\u7406\u5b66\u68c0\u67e5\u3002
\u3000\u3000(2)\u8840\u7ba1\u6027\u75f4\u5446
\u3000\u3000\u2460\u786e\u5b9a\u6709\u75f4\u5446;\u5fc5\u987b\u540c\u65f6\u6709\u60a3\u8111\u8840\u7ba1\u75c5\u7684\u8bc1\u636e(\u75c5\u53f2\u3001\u4f53\u5f81\u53ca\u5f71\u50cf\u5b66\u7684\u8bc1\u636e);\u75f4\u5446\u4e0e\u8111\u8840\u7ba1\u75c5\u4e24\u8005\u5fc5\u987b\u76f8\u4e92\u5173\u8054\u3002
\u3000\u3000\u2461\u4ee5\u4e0b\u51e0\u70b9\u6709\u52a9\u4e8e\u8840\u7ba1\u6027\u75f4\u5446\u7684\u4e34\u5e8a\u8bca\u65ad:\u6709\u548c\u75f4\u5446\u53d1\u751f\u76f8\u5173\u7684\u4e2d\u98ce\u75c5\u53f2;\u6709\u795e\u7ecf\u529f\u80fd\u7f3a\u635f\u7684\u75c7\u72b6\u548c\u4f53\u5f81;\u8111CT, MRI\u89c1\u8111\u8840\u7ba1\u75c5\u635f\u5bb3\u8868\u73b0;Hachinski\u8bc4\u5206>7\u5206;SPECT\u6709\u5c40\u7076\u8111\u8840\u6d41\u91cf\u51cf\u4f4e\u3002
\u3000\u3000(3)\u6df7\u5408\u578b\u75f4\u5446
\u3000\u3000\u6df7\u5408\u578b\u75f4\u5446\u7cfb\u8840\u7ba1\u6027\u75f4\u5446\u4e0eAD\u5171\u5b58\uff0c\u8981\u786e\u5b9a\u4e24\u4e2a\u75c5\u662f\u5426\u540c\u65f6\u5b58\u5728\uff0c\u65e0\u7591\u662f\u5f88\u56f0\u96be\u7684\u3002\u4ee5\u4e0b\u51e0\u70b9\u6709\u52a9\u4e8e\u5176\u4e34\u5e8a\u8bca\u65ad:\u75f4\u5446\u75c5\u7a0b\u4e2d\u6709VD\u548cAD\u4e24\u8005\u4e34\u5e8a\u7279\u70b9;\u8111CT, MRI\u6709\u53ef\u5f15\u8d77\u75f4\u5446\u7684\u8111\u8840\u7ba1\u5c40\u7076\u6027\u635f\u5bb3\uff0c\u4e2d\u3001\u91cd\u5ea6\u767d\u8d28\u758f\u677e\u5e76\u4f34\u6709\u5f25\u6f2b\u6027\u8111\u840e\u7f29\u3002\u6700\u540e\u786e\u8bca\u9700\u75c5\u7406\u5b66\u68c0\u67e5\u3002
\u3000\u3000\u75f4\u5446\u75c7\u7684\u75c5\u539f
\u3000\u3000\u5bfc\u81f4\u8001\u4eba\u75f4\u5446\u75c7\u7684\u75c5\u539f\u5df2\u4e8e\u65e5\u524d\u4e3a\u79d1\u5b66\u5bb6\u53d1\u73b0\u3002\u9020\u6210\u8001\u4eba\u75f4\u5446\u75c7\u7684\u539f\u56e0\u662f\u8111\u7ec6\u80de\u4e2d\u7684\u67d0\u79cd\u86cb\u767d\u8d28\uff0c\u88ab\u4e00\u79cd\u9175\u7d20\u5207\u65ad\uff0c\u5e76\u4ea7\u751f\u4e00\u79cd\u6709\u6bd2\u7269\u8d28\u7684\u7d2f\u79ef\u3002
\u3000\u3000\u5f15\u53d1\u8001\u4eba\u75f4\u5446\u75c7\u7684\u9175\u7d20\u5373\u662f\u5341\u591a\u5e74\u524d\u5c31\u5df2\u7ecf\u77e5\u9053\u7684\u300c\u8d1d\u5854\u5206\u6ccc\u8122\u300d\uff08Beta-Secretase\uff09\uff0c\u4f46\u76f4\u81f3\u65e5\u524d\uff0c\u79d1\u5b66\u5bb6\u624d\u786e\u5b9a\u5bfc\u81f4\u8001\u4eba\u75f4\u5446\u75c7\u7684\u9175\u7d20\uff0c\u672a\u6765\u53ef\u671b\u85c9\u7531\u53d1\u5c55\u8db3\u4ee5\u963b\u6320\u5176\u4f5c\u7528\u7684\u836f\u7269\u6765\u9632\u6b62\u6216\u5ef6\u7f13\u8001\u4eba\u75f4\u5446\u75c7\u7684\u53d1\u4f5c\u3002
\u3000\u3000\u53c2\u8003\u8d44\u6599\uff1a
\u3000\u30001.\u4e91\u5357\u5929\u9ebb\u4e09\u4e03\u76f4\u9500http://www.yn2007.com/
\u3000\u30002.\u7cbe\u795e\u5728\u7ebf\u7f51\u7edc\u5e73\u53f0\uff1ahttp://www.psycard.net
\u3000\u30003.\u89e3\u653e\u519b\u4fdd\u5065\u533b\u5b66\u6742\u5fd7, Journal of Health Care and Medicine in Chinese PLA, \u7f16\u8f91\u90e8\u90ae\u7bb1 1999\u5e74 04\u671f
\u3000\u30004.HaiDR\u5065\u5eb7\u987e\u95ee\u7f51 http://www.haidr.com/c/1001/hc20515
\u9644\u5f551
Loewenstein \u8ba4\u77e5\u529f\u80fd\u8bc4\u5b9a\u8868(LOTCA)
\u6d4b\u8bd5\u5bf9\u8c61\u59d3\u540d: \u8bc4\u5b9a\u8005: \u6d4b\u8bd5\u65e5\u671f:
(\u5728\u76f8\u5e94\u7684\u6570\u5b57\u4e0a\u6253\u5708) \u7f16\u53f7:
\u6d4b\u8bd5\u9879\u5206\u6570\u5907\u6ce8
\u4f4e \u9ad8
\u5b9a\u5411
1. \u5730\u70b9\u5b9a\u5411(OP) 1 2 3 4 5 6 7 8
2. \u65f6\u95f4\u5b9a\u5411(OT) 1 2 3 4 5 6 7 8
\u89c6\u77e5\u89c9
3. \u7269\u4f53\u8bc6\u522b(OI) 1 2 3 4
4. \u5f62\u72b6\u8bc6\u522b\u80fd\u529b(SI) 1 2 3 4
5. \u56fe\u5f62\u91cd\u53e0\u8bc6\u522b(OF) 1 2 3 4
6. \u7269\u4f53\u4e00\u81f4\u6027\u8bc6\u522b(OC) 1 2 3 4
\u7a7a\u95f4\u77e5\u89c9
7. \u8eab\u4f53\u65b9\u5411(SP1) 1 2 3 4
8. \u4e0e\u5468\u56f4\u7269\u4f53\u7684\u7a7a\u95f4\u5173\u7cfb(SP2) 1 2 3 4
9. \u56fe\u7247\u4e2d\u7684\u7a7a\u95f4\u5173\u7cfb(SP3) 1 2 3 4
\u52a8\u4f5c\u8fd0\u7528
10. \u52a8\u4f5c\u6a21\u4eff( P1) 1 2 3 4
11. \u7269\u54c1\u4f7f\u7528( P2) 1 2 3 4
12. \u8c61\u5f81\u6027\u52a8\u4f5c( P3) 1 2 3 4
\u89c6\u8fd0\u52a8\u7ec4\u7ec7\u65f6\u95f4
13. \u590d\u7ed8\u51e0\u4f55\u56fe\u5f62( GF) 1 2 3 4
14. \u590d\u7ed8\u4e8c\u7ef4\u56fe\u5f62( TM) 1 2 3 4
15. \u63d2\u5b54\u62fc\u56fe( PC) 1 2 3 4
16. \u5f69\u8272\u65b9\u5757\u62fc\u56fe(CB) 1 2 3 4
17. \u65e0\u8272\u65b9\u5757\u62fc\u56fe( PB) 1 2 3 4
18. \u788e\u56fe\u590d\u539f(RP) 1 2 3 4
19. \u753b\u949f(DC) 1 2 3 4
\u601d\u7ef4\u64cd\u4f5c
20. \u7269\u54c1\u5206\u7c7b(CA) 1 2 3 4 5
21. Riska \u65e0\u7ec4\u7ec7\u7684\u56fe\u5f62\u5206\u7c7b(RU) 1 2 3 4 5
22. Riska \u6709\u7ec4\u7ec7\u7684\u56fe\u5f62\u5206\u7c7b(RS) 1 2 3 4 5
23. \u56fe\u7247\u6392\u5e8fA( PS1) 1 2 3 4
24. \u56fe\u7247\u6392\u5e8fB( PS2) 1 2 3 4
25. \u51e0\u4f55\u56fe\u5f62\u6392\u5e8f\u63a8\u7406( GS) 1 2 3 4
26. \u903b\u8f91\u95ee\u9898(LQ) 1 2 3 4
\u6ce8\u610f\u529b\u53ca\u4e13\u6ce8\u529b 1 2 3 4
\u8bc4\u4f30\u6240\u9700\u65f6\u95f4: \u8bc4\u4f30\u8fc7\u7a0b\u5b8c\u6210: \u4e00\u6b21\u5b8c\u6210 \u4e24\u6b21\u6216\u4ee5\u4e0a\u5b8c\u6210
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绛旓細绠鏄庣簿绁炵姸鎬佹鏌ヨ〃銆侻MSE鏄竴绉嶅父鐢ㄧ殑璁ょ煡绛涙煡宸ュ叿锛岀敤浜庤瘎浼版偅鑰呯殑娉ㄦ剰鍔涖佸畾鍚戝姏銆佽蹇嗗姏銆佽瑷鑳藉姏浠ュ強瑙嗚缁撴瀯鎶鑳界瓑璁ょ煡鍔熻兘銆傝閲忚〃鎿嶄綔绠渚匡紝骞挎硾搴旂敤浜庝复搴婂強娴佽鐥呭鐮旂┒銆傚叏鐞冭“鑰佽鐭ュ姛鑳借瘎浼伴噺琛ㄣ侫DAS-Cog涓昏鐢ㄤ簬璇勪及鑰佸勾鎮ｈ呯殑璁ょ煡鍔熻兘锛岀壒鍒槸鍦ㄩ樋灏旇尐娴烽粯鐥呯瓑鐤剧梾涓瘎浼拌鐭ユ崯瀹虫儏鍐点傝閲忚〃鍖...
绛旓細鍙婃棭杩涜璁ょ煡鍔熻兘鏃╂湡绛涙煡锛岀瓫鏌ュ嚭椋庨櫓涓瀹氳灏芥棭骞查锛岀瀛︾殑骞查璁粌鍙鍔犲ぇ鑴戠缁忕獊瑙︼紝绉戝澶嶆潅鐨勬櫤鍔涘悍澶嶆父鎴忋佷笓涓氱殑璁板繂鍔涜缁冿紝鍙互鏀瑰杽鑰佷汉鐨勮鐭ュ姛鑳斤紝褰卞搷鑴戠數澶嶆潅搴︼紝棰勯槻鑰佸勾鐥村憜鐨勫彂鐢熴備竴銆佸浣曡繘琛岃鐭ュ姛鑳芥棭鏈熺瓫鏌1銆閲忚〃璇勪及绛涙煡杩涜璁ょ煡鍔熻兘鐘跺喌鍙婄簿绁炶涓鸿瘎浼版讳綋璇勪及锛屽父鐢ㄧ殑閲忚〃鏈夛細绠鏄撶簿绁...
绛旓細鑰佸勾璁ょ煡鍔熻兘閲忚〃(SECF)绯诲湪绠鏄撶簿绁炵姸鍐垫鏌ラ噺琛(MMSE)鐨勫熀纭涓婂姞浠ユ墿鍏呭拰淇敼鑰屾垚锛屼富瑕佸鑰佸勾浜虹殑璁ょ煡鍔熻兘姘村钩浣滈噺鐨勮瘎浼般
绛旓細MMSE绠鏄撴櫤鑳界簿绁炵姸鎬佹鏌閲忚〃濮撳悕锛歘__鎬у埆锛歘__骞撮緞锛歘__鏂囧寲绋嬪害锛歘__璇勫畾鏃堕棿锛歘__
绛旓細鑰佸勾浜鸿鐭ュ姛鑳璇勪及甯歌鐨勬湁鍝簺璇勪及宸ュ叿濡備笅锛1銆佹敞鎰忓姏璇勪及 娉ㄦ剰鍔涜瘎浼版槸璁ょ煡鍔熻兘璇勪及鐨勯噸瑕侀儴鍒嗕箣涓锛屽畠鍙互甯姪鎴戜滑浜嗚В涓綋鍦ㄥ鐞嗕俊鎭椂鐨勪笓娉ㄥ姏鍜屾敞鎰忓姏鐨勫垎閰嶆儏鍐点傛敞鎰忓姏璇勪及閲忚〃閫氬父鍖呮嫭鎸佺画鎬ф敞鎰忓姏娴嬭瘯鍜岄夋嫨鎬ф敞鎰忓姏娴嬭瘯銆傛寔缁ф敞鎰忓姏娴嬭瘯鍙互妫娴嬩釜浣撶殑涓撴敞鍔涘拰娉ㄦ剰鍔涚殑缁存寔鑳藉姏锛屽父瑙佺殑鎸佺画鎬...
绛旓細绠鏄撴櫤鍔涖傜畝鏄撴櫤鍔涚姸鎬佹鏌(MMSE)涓昏鐢ㄤ簬绛涙煡鏈夎鐭ョ己鎹熺殑鑰佸勾浜猴紝閫傚悎浜庣ぞ鍖哄拰浜虹兢璋冩煡銆傜畝鏄撴搷浣滄櫤鍔涚姸鎬侀棶鍗(SPMSQ)閫傜敤浜庤瘎瀹鑰佸勾浜鸿鐭鐘舵佺殑鍓嶅悗姣旇緝銆
绛旓細cga鐨勫姛鑳斤細cga涓昏鏄氳繃涓鑸尰瀛﹁瘎浼般鑰佸勾韬綋鍔熻兘璇勪及銆佽佸勾绮剧蹇冪悊璇勪及銆佽佸勾绀句細璇勪及銆佽佸勾鐜璇勪及銆佽佸勾鐢熸椿璐ㄩ噺璇勪及銆佸父瑙佽佸勾缁煎悎寰佹垨闂璇勪及鍑犱釜缁村害锛屽寘鎷棩甯哥敓娲绘椿鍔ㄥ姛鑳借瘎浼閲忚〃銆璁ょ煡鍔熻兘璇勪及閲忚〃銆佽惀鍏昏瘎浼伴噺琛ㄧ瓑寮灞曡佸勾缁煎悎璇勪及銆傞氳繃璇勪及鍚堢悊骞查锛屼娇鎮ｈ呰璇嗗埌閫氳繃閫傚綋鐨勮偄浣撴椿鍔ㄥ拰鍔熻兘閿荤偧锛...
绛旓細3. 蹇冪悊娴嬮噺锛氶櫎浜嗘姂閮佺棁鐘剁殑璇勪及澶栵紝杩樺彲浠ヨ繘琛岃佸勾浜虹殑鍏朵粬蹇冪悊娴嬮噺锛屽鐒﹁檻銆佽鐭ュ姛鑳介殰纰嶃佺ぞ浜ら傚簲鑳藉姏绛夋柟闈㈢殑璇勪及銆傚父鐢ㄧ殑蹇冪悊娴嬮噺宸ュ叿鏈塇AMA锛堟眽瀵嗗皵椤跨劍铏戦噺琛級銆丮oCA锛钂欑壒鍒╁皵璁ょ煡璇勪及閲忚〃锛夌瓑銆4. 钀ュ吇璇勪及锛氳瘎浼拌佸勾浜虹殑钀ュ吇鐘跺喌鍜岄ギ椋熶範鎯傝惀鍏昏瘎浼板彲浠ユ鏌ヨ佸勾浜烘槸鍚﹀瓨鍦ㄨ惀鍏讳笉鑹垨鑰呴ギ椋熷け璋...
绛旓細钂欑壒鍒╁皵璁ょ煡璇勪及閲忚〃锛孧oCA鐢卞姞鎷垮ぇNasreddine绛夋牴鎹复搴婄粡楠屽苟鍙傝僊MSE锛堢畝鏄庣簿绁炵姸鎬佹鏌ワ級鐨勮鐭ラ」鐩拰璇勫垎鑰屽埗瀹氾紝
绛旓細1. 璁ょ煡鑳藉姏璇勪及閲忚〃骞挎硾搴旂敤浜庡績鐞嗗鍜岀缁忕瀛﹂鍩燂紝鏃ㄥ湪璇勪及涓綋鐨勫涔犮佽蹇嗐佽瑷銆佹濈淮銆佺簿绁炪佹儏鎰熺瓑楂樼骇璁ょ煡鍔熻兘銆2. 璁ょ煡鍔熻兘闅滅鏄寚鐢变簬澶ц剳楂樼骇鏅鸿兘鍔犲伐杩囩▼鐨勫紓甯革紝瀵艰嚧涓ラ噸鐨勫涔犲拰璁板繂闅滅锛屽苟鍙兘浼撮殢澶辫銆佸け鐢ㄣ佸け璁ゆ垨澶辫绛夌棁鐘剁殑鐥呯悊鐘舵併3. 璁ょ煡鑳藉姏鐨勫熀纭鏄ぇ鑴戠毊灞傜殑姝ｅ父鍔熻兘锛屼换浣...
