波士顿命名测试作为早期术后认知功能障碍的查工具,用于老年患者经过重大非心脏手术后的认知功能障碍
Zhang Chen1, Bo Meng1, Xiaoyu Li1
1Department of Anesthesiology, Ningbo No.2 Hospital, Haishu District, Ningbo, China.
The American surgeon
|June 7, 2024
概括
波士顿命名测试 (BNT) 显示承诺作为早期术后认知功能障碍 (POCD) 的查工具在大型手术后的老年患者. 它有效地识别了语言衰退,有助于早期发现认知变化.
科学领域:
- 神经心理学 神经心理学
- 老年医学 老年医学
- 外科手术的结果
背景情况:
- 波士顿命名测试 (BNT) 是一种验证的神经心理学工具,用于评估语言功能.
- 早期术后认知功能障碍 (POCD) 是老年手术患者的一个重大问题.
- 确定可靠的POCD查工具对于及时干预至关重要.
研究的目的:
- 研究波士顿命名测试 (BNT) 作为早期术后认知功能障碍 (POCD) 的查工具的实用性.
- 评估BNT在重大非心脏手术后检测POCD相关的语言功能下降的能力.
主要方法:
- 一项前性观察队列研究,涉及132名主要非心脏手术患者和81名对照.
- 参与者完成了手术前和手术后7天的迷你精神状态检查 (MMSE) 和BNT.
- 使用可靠变化指数和对照组数据评估了早期POCD.
主要成果:
- 在手术后,22.7%的患者通过MMSE患有POCD,而34.1%的患者通过BNT和MMSE表现出语言衰退.
- 在BNT自发命名测试中,用于检测早期POCD,BNT自发命名测试的灵敏度为0.767.
- BNT自发命名的诊断性能与MMSE子测试相当.
结论:
- 波士顿命名测试 (BNT) 自发命名组件是对老年患者早期POCD查的可行工具.
- BNT可以帮助识别术后认知变化的语言功能下降迹象.
- 在外科患者群体中对POCD查进行BNT的进一步验证是合理的.
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