手术和麻醉后的长期认知结果:我们发现的取决于我们看哪里
Hyundeok Joo1, Laura Y Li2, Elizabeth L Whitlock1
1Department of Anesthesia & Perioperative Care, University of California, San Francisco, San Francisco, CA, USA.
Current anesthesiology reports
|May 24, 2024
概括
虽然一些患者在手术后报告持久的认知问题,但大多数老年人经历记忆恢复. 对于那些患有持续的术后认知衰退的人来说,需要进一步调查.
科学领域:
- 神经科学是一个神经科学.
- 老年医学 老年医学
- 医学人文学科 医学人文学科
背景情况:
- 初级队列研究显示,手术后的认知能力暂时下降.
- 事证据表明,一些患者的认知缺陷持续,具有影响力.
- 医生往往缺乏准备来解决患者对术后认知的担忧.
研究的目的:
- 综合来自队列研究,流行病学和叙事医学的发现.
- 了解长期术后认知衰退的细微差别.
- 将不同的研究方法联系起来,以获得全面的观点.
主要方法:
- 对手术对认知影响的初级队列研究的综述.
- 对有关选择性手术和认知的流行病学数据的分析.
- 事和叙事医学观点的整合.
- 检查痴呆症文献以获得相关的见解.
主要成果:
- 流行病学研究表明,老年人选择性手术对认知影响的平均值很小.
- 对于大多数患者来说,手术可能在长期的认知变化中起到很小的作用.
- 诸如住院,糖尿病和吸烟等因素是显著的认知风险.
结论:
- 大多数患者在大型手术后恢复认知功能.
- 关于持续认知衰退的事报告虽然令人担忧,但并不是常态.
- 经历长期认知问题的患者需要症状特征和可逆原因的调查.
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