在外科手术期神经认知障碍中,泰拉马斯
Marinus Fislage1,2, Norman Zacharias3, Insa Feinkohl4,5
1Department of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin, 10117, Germany. Marinus.fislage@charite.de.
Neuropsychology review
|September 22, 2023
概括
泰拉木斯的结构和功能预测神经认知障碍 (NCD) 的风险. 本综述探讨了手术前和手术后的胸部成像如何与手术后的非传染性疾病 (NCD),如妄和认知功能障碍有关.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 放射学 放射学是一门学科.
背景情况:
- Thalamus 的结构和功能是与年龄相关的神经认知障碍 (NCD) 的确立预测因素,包括痴呆症.
- 泰拉马斯在外科手术期间的作用,特别是关于神经认知结果的作用,仍未得到充分研究.
- 了解thalamic贡献对于识别患有术后神经认知衰退风险的个体至关重要.
研究的目的:
- 进行对脑成像研究进行叙事审查,调查质部扫描参数.
- 为了评估术前和术后的丘脑特征与术后非传染性疾病的风险之间的联系.
- 在认知储备能力的框架内讨论发现.
主要方法:
- 对脑成像研究的系统文献搜索,重点是质体.
- 对检查手术前和手术后丘脑扫描参数的研究进行审查.
- 分析thalamic发现与术后妄 (POD) 和术后认知功能障碍 (POCD) 的发展之间的关联.
主要成果:
- 确定了研究,将特定的手术前和手术后的乳头成像参数与术后非传染性疾病风险的增加联系起来.
- 有证据表明,胸膜变化可能在POD和POCD发展之前或随之发生.
- 这些发现突出了泰拉木斯成像技术作为外科手术期间神经认知风险的生物标志物的潜力.
结论:
- Thalamus 的结构和功能与外科手术期间的神经认知结果相关,超越了与年龄相关的NCD.
- 术前和术后的乳头成像参数可能有助于预测患POD和POCD的风险.
- 认知储备能力的概念提供了一个有价值的镜头来解释在手术患者的丘脑的作用.
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