首页 中华老年医学杂志 2025年44卷03期 社区轻度认知功能障碍数字化筛查专家共识(2025版)
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ENGLISH ABSTRACT
社区轻度认知功能障碍数字化筛查专家共识(2025版)
国家老年疾病临床医学研究中心(华西)
老年认知障碍数字疗法联合实验室及社区轻度认知功能障碍数字化筛查中国专家共识工作组
孙雪莲
李昱晓
邓一平
岳冀蓉
于普林 
董碧蓉
作者及单位信息
·
DOI： 10.3760/cma.j.issn.0254-9026.2025.03.002
Chinese expert consensus on digital screening for mild cognitive impairment in the community(2025 edition)
National Clinical Medical Research Center for Geriatric Diseases, West China Hospital, Sichuan University
Joint Laboratory of Digital Therapy for Geriatric Cognitive Impairment and the Working Group of Chinese Expert Consensus on Digital Screening for Mild Cognitive Impairment in the Community
Sun Xuelian
Li Yuxiao
Deng Yiping
Yue Jirong
Yu Pulin
Dong Birong
Authors Info & Affiliations
National Clinical Medical Research Center for Geriatric Diseases, West China Hospital, Sichuan University
Joint Laboratory of Digital Therapy for Geriatric Cognitive Impairment and the Working Group of Chinese Expert Consensus on Digital Screening for Mild Cognitive Impairment in the Community
Sun Xuelian
Center of Gerontology and Geriatrics, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China
Li Yuxiao
Center of Gerontology and Geriatrics, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China
Deng Yiping
Center of Gerontology and Geriatrics, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China
Yue Jirong
Center of Gerontology and Geriatrics, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China
Yu Pulin
Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
Dong Birong
Center of Gerontology and Geriatrics, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China
·
DOI： 10.3760/cma.j.issn.0254-9026.2025.03.002
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摘要
数字化筛查是将数字技术整合到疾病评估流程中的一种方法，在社区轻度认知功能障碍(mild cognitive impairment，MCI)大规模筛查中发挥着重要作用。本共识通过系统性检索和评估社区MCI数字化筛查的现有证据，结合临床、科研和产业部门等多领域专家意见，明确了社区MCI数字化筛查相关术语及定义，对数字化筛查的内容及特征、工具的主要分类和应具备的基本要素、适宜对象、筛查频率及管理策略等问题提出了12条推荐意见，讨论了未来发展方向，旨在帮助优化MCI的早期诊疗策略，推动数字化筛查在社区中老年人群脑健康管理中的良性发展。
轻度认知功能损害;数字化筛查;社区;专家共识
ABSTRACT
Digital screening incorporates technology into the disease assessment process and plays a significant role in large-scale screening for mild cognitive impairment(MCI)within communities.This consensus systematically reviews and evaluates the existing evidence regarding the effectiveness of digital screening for MCI in these settings.The working group has integrated the perspectives of experts from diverse fields, including clinical practice, scientific research, and industry, to clarify the definitions of digital-related terms.Furthermore, the consensus presents 12 recommendations that outline the main classifications of tools, basic elements to consider, target individuals, screening frequency, and management strategies for digital screening, while also indicating future development directions.The aim is to optimize early diagnosis and treatment strategies for MCI and to promote the advancement of digital screening in cognitive health management for middle-aged and older adults in community settings.
Mild cognitive impairment;Digitalized screening;Community;Expert consensus
Dong Birong, Email:
mocdef.3ab61gnodgnorib;
Yu Pulin, Email:
mocdef.3ab61uy_nilup
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引用本文
国家老年疾病临床医学研究中心(华西),老年认知障碍数字疗法联合实验室及社区轻度认知功能障碍数字化筛查中国专家共识工作组,孙雪莲,等. 社区轻度认知功能障碍数字化筛查专家共识(2025版)[J]. 中华老年医学杂志,2025,44(03)：238-249.
DOI:10.3760/cma.j.issn.0254-9026.2025.03.002PERMISSIONS
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全球人口已进入老龄化阶段，痴呆是导致老年人失能和死亡的主要原因之一
[
1
]。全球痴呆患者超过5 500万，每年新增约1 000万例
[
1
,
2
]。截至2018年，我国60岁及以上老年人痴呆患病人数约为1 507万(6.0%)
[
2
,
3
]，患病率增速(5.6%)约为全球平均增速的3倍(1.7%)
[
3
]。轻度认知功能障碍(mild cognitive impairment，MCI)是介于认知正常和痴呆之间的中间阶段，指记忆力或其他认知功能进行性减退，但尚未影响日常生活能力，且未达到痴呆的诊断标准
[
4
,
5
]。MCI的认知功能损害涉及记忆力、注意力、感知觉、定向力、执行功能、逻辑推理、语言功能等1个或多个方面
[
5
]。MCI预示老年人健康状况下降，增加社区老年人的全因死亡风险
[
6
]。2018年我国60岁及以上人群MCI患病率约15.5%(约3 877万)
[
2
]，每年有10%～15%的MCI患者发展为痴呆
[
4
]。庞大的痴呆群体给患者、家庭以及社会均带来了沉重的医疗、照护和经济负担
[
1
]。MCI是早期防控痴呆的关键阶段，社区老年人是痴呆防控的重点人群
[
4
,
7
,
8
,
9
]。广泛、精准、高效的社区MCI筛查是早期防控痴呆的关键措施之一。过去二十年，数字化技术的发展为社区MCI筛查及痴呆的早期防控提供了新契机。中老年人对电子产品的接受度上升，使面向社区、居家及个体等非临床环境来实施MCI数字化筛查具有更大潜力。制定社区MCI数字化筛查中国专家共识，有利于促进社区MCI数字化筛查的良性发展，实现更大规模、更精准、更高效的社区MCI早筛和早控，为传统痴呆防控策略提供有效补充。
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