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Неврология, нейропсихиатрия, психосоматика

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Болезнь Альцгеймера: фармакологические и нефармакологические подходы к коррекции психоневрологических расстройств

https://doi.org/10.14412/2074-2711-2018-3-129-134

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Аннотация

Сегодня отсутствует надежная фармакологическая коррекция деменции, несмотря на ее высокую распространенность во всем мире. Клиническая картина болезни Альцгеймера (БА) на той или иной стадии сопровождается присоединением к когнитивному дефекту нейропсихических нарушений (НПН). Выраженность и спектр НПН различны. Продемонстрированы возможности лекарственной терапии при НПН. Отмечена роль акатинола мемантина в коррекции ряда психолого-поведенческих расстройств. Среди факторов, способствующих формированию НПН или провоцирующих их, выделяют биологические, психологические, социальные и экологические. Знание триггеров психических расстройств позволяет избегать и тем самым уменьшить или устранить НПН. Особое внимание уделяется взаимоотношениям больного и ухаживающего лица. В последние годы в лечении НПН все чаще используются нефармакологические средства, считающиеся приоритетной линией их коррекции. Приводятся данные об основных методах нефармакологической коррекции и эффективности их применения.

Об авторе

Е. Г. Менделевич
ФГБОУ ВО «Казанский государственный медицинский университет», Казань, Республика Татарстан
Россия
Кафедра неврологии и реабилитации


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Для цитирования:


Менделевич Е.Г. Болезнь Альцгеймера: фармакологические и нефармакологические подходы к коррекции психоневрологических расстройств. Неврология, нейропсихиатрия, психосоматика. 2018;10(3):129-134. https://doi.org/10.14412/2074-2711-2018-3-129-134

For citation:


Mendelevich E.G. Alzheimer's disease: some pharmacological and non-pharmacological approaches to correcting neuropsychiatric disorders. Neurology, Neuropsychiatry, Psychosomatics. 2018;10(3):129-134. (In Russ.) https://doi.org/10.14412/2074-2711-2018-3-129-134

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