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font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u4ec0\u4e48\u662f\u8111\u810a\u6db2\u751f\u7269\u6807\u5fd7\u7269\uff1f<\/h3>\n<p class=\"text-align-justify\">\u4f17\u591a\u7814\u7a76\u5df2\u7136\u8bc1\u5b9e\uff0c\u5728\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u7684\u8bca\u65ad\u6d41\u7a0b\u4e2d\uff0c\u4e09\u79cd\u6838\u5fc3\u8111\u810a\u6db2 (CSF) \u751f\u7269\u6807\u5fd7\u7269\u2014\u2014\u03b2-\u6dc0\u7c89\u6837\u86cb\u767d 42 (\u03b1\u03b242)\u3001\u603b tau \u86cb\u767d (T-tau) \u4ee5\u53ca\u78f7\u9178\u5316 tau \u86cb\u767d (P-tau)\u2014\u2014\u5177\u5907\u91cd\u8981\u4ef7\u503c\u3002\u5728\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u6b63\u5f0f\u786e\u8bca\u81f3\u5c11 5 \u5e74\u524d\uff0c\u8111\u810a\u6db2\u4e2d \u03b1\u03b242 \u7684\u6d53\u5ea6\u4fbf\u5df2\u68c0\u6d4b\u5230\u51fa\u73b0\u964d\u4f4e\u60c5\u51b5[2]\u3002T-tau \u548c P-tau \u5747\u4f5c\u4e3a\u795e\u7ecf\u5143\u4e22\u5931\u7684\u6807\u5fd7\u7269\uff0c\u5176\u6c34\u5e73\u59cb\u7ec8\u9ad8\u4e8e\u57fa\u7ebf\u503c[3]\u3002<\/p>\n<p class=\"text-align-justify\">\u8111\u810a\u6db2\u53ef\u901a\u8fc7\u8170\u690e\u7a7f\u523a\u7684\u65b9\u5f0f\u83b7\u53d6\uff0c\u5176\u6210\u5206\u88ab\u89c6\u4e3a\u5927\u8111\u5185\u73af\u5883\u7684\u76f4\u63a5\u53cd\u6620\u3002\u5373\u4fbf\u5982\u6b64\uff0c\u8111\u810a\u6db2\u751f\u7269\u6807\u5fd7\u7269\u76ee\u524d\u5c1a\u672a\u5728\u4e34\u5e8a\u8bca\u65ad\u4e2d\u5f97\u5230\u5e7f\u6cdb\u5e94\u7528\u3002\u622a\u81f3\u76ee\u524d\uff0c\u9488\u5bf9\u8fd9\u4e9b\u751f\u7269\u6807\u5fd7\u7269\u5c1a\u672a\u5f62\u6210\u6b63\u5f0f\u7edf\u4e00\u7684\u4e34\u754c\u503c\u5224\u5b9a\u6807\u51c6\uff0c\u4e0d\u8fc7\u76f8\u5173\u65b9\u9762\u6b63\u5168\u529b\u63a8\u8fdb\u8fd9\u4e9b\u6570\u503c\u7684\u6807\u51c6\u5316\u5de5\u4f5c\u3002<\/p>\n<p class=\"text-align-justify\">\u9274\u4e8e\u591a\u9879\u4e34\u5e8a\u6307\u5357\u7684\u4fee\u8ba2\u8c03\u6574\uff0c\u4f8b\u5982\u7f8e\u56fd\u56fd\u5bb6\u8001\u9f84\u5316\u7814\u7a76\u6240\u548c\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u534f\u4f1a\uff08National Institute of Aging and Alzheimer&#8217;s Association\u00a0\uff0c\u7b80\u79f0 NIA-AA\u00a0\uff09\u8bc4\u4f30\u8ba4\u5b9a\uff0c\u65e0\u8bba\u75c7\u72b6\u662f\u5426\u5b58\u5728\u4ee5\u53ca\u4e25\u91cd\u7a0b\u5ea6\u5982\u4f55\uff0c\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u7684\u8bca\u65ad\u5982\u4eca\u5747\u53ef\u57fa\u4e8e\u751f\u7269\u5b66\u4f9d\u636e[4]\uff0c\u518d\u52a0\u4e0a\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u534f\u4f1a (Alzheimer\u2019s Association) \u5f00\u5c55\u7684\u4e00\u9879\u5916\u90e8\u8d28\u91cf\u63a7\u5236\u8ba1\u5212[5]\uff0c\u5f53\u4e0b\u5728\u4e34\u5e8a\u73af\u5883\u4e2d\u66f4\u5e7f\u6cdb\u5730\u8fd0\u7528\u8111\u810a\u6db2\u751f\u7269\u6807\u5fd7\u7269\u6216\u8bb8\u5df2\u5177\u5907\u53ef\u884c\u6761\u4ef6\u3002\u82e5\u83b7\u5f97\u6279\u51c6\uff0c\u501f\u52a9\u81ea\u52a8\u5316\u6280\u672f\u540c\u6837\u80fd\u591f\u589e\u52a0\u8111\u810a\u6db2\u751f\u7269\u6807\u5fd7\u7269\u7684\u4f7f\u7528\u9891\u6b21\uff0c\u8fdb\u800c\u51cf\u5c11\u4eba\u5de5\u64cd\u4f5c\u5e26\u6765\u7684\u8bef\u5dee\u3002<\/p>\n<h3 class=\"text-align-justify\" style=\"font-family: Inter !important; 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font-weight: 500 !important; font-size: 24px !important; line-height: 32px !important; letter-spacing: 0px !important;\">\u4f5c\u4e3a\u4f34\u968f\u8bca\u65ad\u7684\u6f5c\u5728\u5e94\u7528<\/h3>\n<p class=\"text-align-justify\">\u8111\u810a\u6db2\u751f\u7269\u6807\u5fd7\u7269\u5df2\u88ab\u5e94\u7528\u4e8e\u75be\u75c5\u4fee\u9970\u6cbb\u7597 (DMT) \u7684\u4e34\u5e8a\u8bd5\u9a8c\uff0c\u65e8\u5728\u5e72\u9884\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u7684\u4e34\u5e8a\u8fdb\u5c55\u8fc7\u7a0b[8]\u3002\u4e3a\u4e86\u5bf9\u7b26\u5408\u4e34\u5e8a\u8bd5\u9a8c\u6761\u4ef6\u7684\u60a3\u8005\u8fdb\u884c\u6070\u5f53\u5206\u5c42\uff0c\u4f1a\u91c7\u7528\u8111\u810a\u6db2\u751f\u7269\u6807\u5fd7\u7269\uff08\u4ee5\u53ca\u6b63\u7535\u5b50\u53d1\u5c04\u65ad\u5c42\u626b\u63cf\uff09\u4f5c\u4e3a\u786e\u8ba4\u6027\u68c0\u6d4b\u65b9\u6cd5\uff0c\u4ee5\u6b64\u660e\u786e\u662f\u5426\u5b58\u5728\u751f\u7406\u53d8\u5316\u3002<\/p>\n<p class=\"text-align-justify\">\u968f\u7740\u751f\u7269\u6807\u5fd7\u7269\u68c0\u6d4b\u65b9\u6cd5\u7684\u65e5\u76ca\u4e30\u5bcc\u4ee5\u53ca\u6807\u51c6\u5316\u8fdb\u7a0b\u7684\u4e0d\u65ad\u63a8\u8fdb\uff0c\u8111\u810a\u6db2\u751f\u7269\u6807\u5fd7\u7269\u6709\u671b\u5728\u4e34\u5e8a\u8bd5\u9a8c\u7684\u5173\u952e\u73af\u8282\u53d1\u6325\u5e7f\u6cdb\u7684\u652f\u6301\u4f5c\u7528\u3002\u4e0d\u8fc7\uff0c\u5176\u5b58\u5728\u7684\u4e0d\u8db3\u4e4b\u5904\u5728\u4e8e\uff0c\u60a3\u8005\u53ef\u80fd\u96be\u4ee5\u8010\u53d7\u591a\u6b21\u8170\u690e\u7a7f\u523a\u64cd\u4f5c\uff0c\u8fd9\u4fc3\u4f7f\u79d1\u7814\u4eba\u5458\u9700\u8981\u8fdb\u4e00\u6b65\u5f00\u5c55\u7814\u7a76\uff0c\u5f00\u53d1\u57fa\u4e8e\u8840\u6db2\u7684\u751f\u7269\u6807\u5fd7\u7269\u4f5c\u4e3a\u66ff\u4ee3\u65b9\u6848\u3002<\/p>\n<p class=\"text-align-justify\">\u4f17\u591a\u7814\u7a76\u5747\u63d0\u53ca\u4e86\u53ca\u65f6\u8bca\u65ad\u6240\u5e26\u6765\u7684\u6f5c\u5728\u76ca\u5904\uff0c\u5176\u4e2d\u5305\u62ec\u83b7\u5f97\u66f4\u65e9\u5f00\u5c55\u6cbb\u7597\u7684\u673a\u4f1a\uff0c\u6216\u8005\u66f4\u65e9\u91c7\u7528\u75be\u75c5\u4fee\u9970\u6cbb\u7597\u8fdb\u884c\u5e72\u9884\u3002\u968f\u7740\u5e02\u573a\u4e0a\u76f8\u5173\u836f\u7269\u7684\u51fa\u73b0\uff0c\u8fd9\u79cd\u7406\u8bba\u5c42\u9762\u7684\u76ca\u5904\u5982\u4eca\u6709\u4e86\u6210\u4e3a\u73b0\u5b9e\u7684\u53ef\u80fd\u3002\u65b0\u836f\u7684\u95ee\u4e16\uff0c\u53ef\u80fd\u4f1a\u6fc0\u52b1\u66f4\u591a\u533b\u7597\u4ece\u4e1a\u8005\u91c7\u7528\u751f\u7269\u6807\u5fd7\u7269\u68c0\u6d4b\u65b9\u6cd5\uff0c\u4e3a\u5176\u60a3\u8005\u505a\u51fa\u660e\u786e\u7684\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u8bca\u65ad\u3002<\/p>\n<p class=\"text-align-justify\"><em>\u53c2\u8003\u8d44\u6599<\/em>\uff1a<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/www.alzint.org\/u\/Dementia-Asia-Pacific-2014.pdf\" target=\"_blank\" rel=\"noopener\">[1]<\/a> Dementia in the Asia Pacific Region 2014 Report, Alzheimer&#8217;s Disease International<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/jamanetwork.com\/journals\/jamapsychiatry\/article-abstract\/1107443\" target=\"_blank\" rel=\"noopener\">[2]<\/a>\u00a0Buchhave, P.et al. (2012)\u00a0Cerebrospinal Fluid Levels of \u03b2-Amyloid 1-42, but Not of Tau, Are Fully Changed Already 5 to 10 Years Before the Onset of Alzheimer Dementia.\u00a0<i>Archives of General Psychiatry<\/i>, 69(1), pp98.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1474442216000703?via%3Dihub\" target=\"_blank\" rel=\"noopener\">[3]<\/a>\u00a0Olsson, B., et al. (2016) CSF and blood biomarkers for the diagnosis of Alzheimer\u2019s disease: a systematic review and meta-analysis.<em>The Lancet Neurology<\/em>, 15, pp673-684.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/www.nia.nih.gov\/health\/alzheimers-disease-diagnostic-guidelines\" target=\"_blank\" rel=\"noopener\">[4]<\/a>\u00a0Alzheimer&#8217;s Disease Diagnostic Guidelines, Dementia Resources for Health Professionals, National Institute of Health<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/www.gu.se\/en\/neuroscience-physiology\/the-alzheimers-association-qc-program-for-csf-and-blood-biomarkers\" target=\"_blank\" rel=\"noopener\">[5]<\/a>\u00a0The Alzheimer&#8217;s Association QC program for CSF and blood biomarkers<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/content.iospress.com\/articles\/journal-of-alzheimers-disease\/jad150692\" target=\"_blank\" rel=\"noopener\">[6]<\/a> Dubois, B.et al. (2016) Timely diagnosis for Alzheimer&#8217;s Disease: A Literature Review on Benefits and Challenges.<em>Journal of Alzheimer&#8217;s Disease<\/em>, 49, pp617-631.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/www.nature.com\/articles\/nrneurol.2014.232\" target=\"_blank\" rel=\"noopener\">[7]<\/a>\u00a0Lleo, A.et al. (2014) Cerebrospinal fluid biomarkers in trials for Alzheimer and Parkinson diseases.<em>Nature Reviews Neurology<\/em>, 11, pp41-55.<\/p>\n<p class=\"text-align-justify\"><a href=\"https:\/\/www.karger.com\/Article\/FullText\/511233\" target=\"_blank\" rel=\"noopener\">[8]<\/a>\u00a0Horgan, D.et al. (2020) Biomarker Testing: Piercing the Fog of Alzheimer&#8217;s and Related Dementia.\u751f\u7269\u533b\u5b66\u4e2d\u5fc3<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u5728\u5168\u7403\u4eba\u53e3\u6301\u7eed\u8001\u9f84\u5316\u7684\u5927\u8d8b\u52bf\u4e0b\uff0c\u963f\u5c14\u8328\u6d77\u9ed8\u75c5\u5df2\u7136\u6210\u4e3a\u4e00\u4e2a\u6781\u4e3a\u4e25\u91cd\u4e14\u53d1\u5c55\u6001\u52bf\u8fc5\u731b\u7684\u516c\u5171\u536b\u751f\u96be\u9898\u3002\u4ec5\u4e9a\u592a\u5730\u533a\u76ee\u524d\u4f30\u7b97\u7684\u75c5\u4f8b\u6570\u5c31\u5df2\u8d85\u8fc7 2,300 \u4e07\uff0c\u9884\u8ba1\u5230 2050 \u5e74\uff0c\u8fd9\u4e00\u6570\u5b57\u5c06\u7a81\u7834 7,000 \u4e07[1]\u3002\u5c3d\u7ba1\u5f53\u4e0b\u4eba\u4eec\u5c06\u8bf8\u591a\u76ee\u5149\u805a\u7126\u4e8e FDA 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