术后狂妄症和神经认知障碍:为照顾癌症患者的提供者提供最新信息
Donna Ron1,2, Stacie Deiner3
1Department of Community and Family Medicine, Dartmouth Hitchcock Medical Center and Geisel School of Medicine at Dartmouth, 1 Medical Center Drive, Lebanon, NH, 03756, USA. Donna.Ron@hitchcock.org.
Current oncology reports
|July 25, 2024
概括
本综述更新了手术后痴呆症和手术癌症患者神经认知障碍的信息. 讨论了新的风险因素和预防策略,强调需要进一步研究以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 神经科学是一个神经科学.
- 老年病的医生 老年病的医生
背景情况:
- 手术后妄和神经认知障碍 (PND) 对手术癌症患者构成重大风险.
- 了解既有和新出现的风险因素对于有效管理至关重要.
研究的目的:
- 为提供手术癌症患者手术后痴呆症和神经认知障碍的最新审查.
- 总结最近关于PND风险因素,预防和管理策略的发现.
主要方法:
- 在癌症外科手术中对外科手术期间神经认知障碍的最新研究的文献综述.
- 综合有关已确定的和新出现的风险因素的信息.
- 分析当前和新兴的预防和治疗干预措施.
主要成果:
- 既有风险因素 (年龄,并发症,虚弱) 和新鲜因素 (微生物组,维生素D缺乏) 与PND有关.
- 预防策略包括认知预康复,老年评估,多学科护理和特定药物.
- 新兴的药理学药剂显示出希望,但麻醉技术的争议仍然存在.
结论:
- 尽管正在进行的研究和挑战,但实施最佳实践可以减轻PND的不利影响.
- 进一步的研究是必不可少的,以确定在手术癌症患者中PND的最终预防和管理干预措施.
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