Медицинский совет (Feb 2018)

MANAGEMENT OF PATIENTS WITH ALZHEIMER’S DISEASE

  • V. A. Parfenov,
  • A. R. Kabaeva

DOI
https://doi.org/10.21518/2079-701X-2018-1-6-12
Journal volume & issue
Vol. 0, no. 1
pp. 6 – 12

Abstract

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The article presents a literature review on the management of patients with Alzheimer’s disease (AD). Psychosocial and behavioural trends form the core of the management of a patient with AD and should be used as early as possible and remain in use for the rest of her/his life. Inhibitors of central acetylcholinesterase (donepizil, galantamine, rivastigmine) and memantine are able to improve cognitive functions. Stroke prevention has been considered the mainstay in reducing the risk of developing AD and the progression of its symptoms. Gradual normalization of arterial pressure in patients with hypertension reduces the risk of various types of dementia, including asthma. The use of a large number of fresh fruits or vegetables, the Mediterranean diet, regular exercise and mental activity are associated with a decrease in the incidence of AD. The article discusses the management of patients with AD in our country, the use of Cerebrolysin and methods of vaccination.

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