心肺旁路的神经行为后续
O A Selnes1, M A Goldsborough, L M Borowicz
1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Lancet (London, England)
|May 20, 1999
概括
冠状动脉旁路移植 (CABG) 可能导致不良的神经认知结果,包括持续的缺陷. 识别有风险的患者对于改善手术结果和患者护理至关重要.
科学领域:
- 心血管外科心血管外科
- 神经科学是一个神经科学.
- 认知心理学 认知心理学
背景情况:
- 冠状动脉旁路移植 (CABG) 已取得显著进展,改善了心痛管理.
- 不良的神经行为结果,包括中风和认知缺陷,在CABG后仍然令人担忧.
- 已经确定了CABG后中风的手术前风险因素.
研究的目的:
- 审查CABG后的神经认知结果.
- 为了确定与CABG后认知衰退相关的风险因素.
- 讨论保护患者免受不良神经认知结果的策略.
主要方法:
- 关于CABG后神经认知结果研究的文献综述.
- 对人口和医疗风险因素的分析.
- 对短期和长期认知缺陷的检查.
- 考虑手术前的抑郁症作为一个因素.
主要成果:
- 短期认知缺陷在CABG后很常见,但可能不是特定于程序的.
- 视觉构造缺陷可能会长期存在,可能是由于脑损伤.
- 手术前的抑郁症通常会在手术后持续存在,但并不能完全解释认知能力下降.
- 认知能力下降的危险因素在短期和长期研究之间可能有所不同.
结论:
- 尽管CABG的进展,神经认知并发症仍然存在.
- 识别患有不良神经认知结果风险的患者至关重要.
- 修改手术程序和有效的医疗疗法是必要的,以保护处于危险的患者.
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