术后认知功能障碍:一篇综述
Neelesh Anand1, Reetika Gupta1, Shashi Prakash Mishra2
1Department of Anesthesiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Asian journal of anesthesiology
|August 19, 2024
概括
老年患者在非心脏手术后可能会出现暂时的术后认知功能障碍 (POCD). 目前的研究缺乏有效的预防策略,使患者信息具有挑战性.
科学领域:
- 麻醉学 麻醉学
- 老年医学 老年医学
- 神经科学是一个神经科学.
背景情况:
- 老年人很容易在手术后出现认知障碍.
- 手术后认知功能障碍 (POCD) 即使是正常的手术前认知功能,也会影响患者.
- 波多野结衣综合症通常是短暂的和自我解决的,但诊断标准仍然不清楚.
研究的目的:
- 突出老年患者对POCD的脆弱性.
- 强调需要进行手术前的认知评估和风险因素识别.
- 为了应对定义,诊断和管理POCD的挑战.
主要方法:
- 对非心脏外科手术中POCD的当前文献的综述.
- 麻醉和外科手术对认知功能的影响分析.
- 讨论诊断挑战和缺乏最终的预防措施.
主要成果:
- 没有特定的麻醉技术或药物被证明可以显著降低POCD发病率.
- 术前认知评估对于了解POCD的范围至关重要.
- 由于研究的局限性,关于POCD的准确患者信息仍然很困难.
结论:
- 接受非心脏手术的老年患者面临暂时认知功能障碍的风险.
- 目前的医学知识缺乏有效的方法来预防或可靠地诊断POCD.
- 需要进一步的研究,以建立明确的诊断标准和POCD的预防策略.
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