手术后的认知轨迹:评估和治疗的指导提示
Serena Oliveri1, Tommaso Bocci1, Natale Vincenzo Maiorana2
1"Aldo Ravelli" Center for Neurotechnology and Brain Therapeutics Department of Health Sciences, University of Milan, Italy; Neurological Clinic, Azienda Socio Sanitaria Territoriale - Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Italy.
手术后的神经认知障碍 (NCD) 影响老年手术患者,神经炎症起着关键作用. 早期识别和干预,如认知培训,对于预防和管理非传染性疾病至关重要.
科学领域:
- 老年医学 老年医学
- 神经科学是一个神经科学.
- 麻醉学 麻醉学
背景情况:
- 接受重大手术的老年患者经常经历手术后的认知困难.
- 神经认知障碍 (NCD) 影响高达25%的患者,10%的患者经历了持续的问题.
- 神经炎症,微质激活和细胞因子释放都与NCD病变发生有关.
研究的目的:
- 审查最近在术后非传染性疾病的诊断,发病和治疗方面的进展.
- 系统化当前的证据,并为多学科护理提供指导方针.
- 强调危险患者的早期诊断和预防策略.
主要方法:
- 对NCD诊断分类和发病因子的当前文献的综述.
- 对血清和脑脊液生物标志物的分析,以评估神经炎症.
- 对神经心理评估工具和认知干预措施的评估.
主要成果:
- 神经炎症对术后NCD的发展和严重程度有显著的贡献.
- 预先存在的疾病和手术后果可能会加剧非传染性疾病.
- 生物标志物分析和标准化评估对于NCD管理至关重要.
结论:
- 综合诊断,预后和治疗方法的多学科护理至关重要.
- 应考虑对高风险患者进行预防性干预,包括认知训练和神经调节.
- 建议进行早期的术前和术后评估,以减轻NCD风险.
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