术后认知功能障碍:对病理生理学,诊断和预防策略的审查
Nenad Nešković1,2, Dino Budrovac1,2, Gordana Kristek1,2
1Department of Anaesthesiology, Resuscitation and Intensive Care, Osijek University Hospital, Osijek, Croatia.
接受重大手术的老年患者经常经历术后认知障碍. 本综述阐明了这种常见的手术并发症的诊断,病理生理学和预防策略.
科学领域:
- 麻醉学和老年医学
背景情况:
- 手术后认知障碍 (PCI) 在大手术后的老年患者中很普遍.
- 年龄是一个重要的风险因素,近三分之一的老年人经历认知能力下降.
- 在术后认知功能障碍 (PCD),妄想和延迟的神经认知恢复之间存在混乱,影响研究的一致性.
研究的目的:
- 为PCI和PCD建立统一的命名体系和诊断标准.
- 审查PCD的假定病理生理学.
- 概述PCD治疗和预防策略的当前建议.
主要方法:
- 这是一个复习文章.
- 专注于综合当前文献和专家建议.
- 检查PCD的命名,诊断,病理生理学和管理策略.
主要成果:
- 强调需要标准化术语来提高研究准确性.
- 讨论了可能导致PCD的病理生理机制.
- 为临床管理和未来研究提出基于证据的建议.
结论:
- 标准化的命名法和诊断标准对于理解和管理PCD至关重要.
- 需要进一步研究病理生理学,以制定有效的预防和治疗策略.
- 解决PCD对于改善老龄化外科患者的治疗结果至关重要.
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