在接受大动脉置换手术的患者中进行术前和术后认知评估:来自PEARL项目的见解
Valentina Fiolo1, Enrico Giuseppe Bertoldo1, Silvana Pagliuca1
1Clinical Psychology Service, IRCCS Policlinico San Donato, San Donato Milanese, 20097 Milan, Italy.
NeuroSci
|November 25, 2024
概括
手术性大动脉置换 (SAVR) 一般保持认知功能,并显著改善口头情节性记忆. 在SAVR后的神经认知结果稳定,有助于未来的患者护理策略.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 心理学 心理学 心理学
背景情况:
- 大动脉狭窄症 (AVS) 是一种普遍存在的膜性心脏病,与显著的神经认知障碍相关.
- 这些损伤会对患者的生活质量产生负面影响.
研究的目的:
- 评估在术前和术后对大动脉静脉狭窄患者的神经认知影响大动脉置换手术 (SAVR).
主要方法:
- 64名接受SAVR治疗的患者队列在手术前 (T0) 和手术后 (T1) 使用11项认知测试进行评估.
- 统计分析使用了Shapiro-Wilk测试的正常性和Wilcoxon签名排名测试来比较T0和T1分数 (p <0.05).
主要成果:
- 大多数患者在基线表现出正常的认知功能,执行功能,注意力和语言在正常范围内.
- 在SAVR后,认知结果保持稳定或改善,特别是在执行功能和语言方面.
- 语言情节性记忆在SAVR后显著改善 (BSRT: 73.4%至92.2%,p < 0.0001),而视觉空间能力显示稳定或略有下降.
结论:
- SAVR导致全球认知稳定,并显著增强了口头情节性记忆.
- 在SAVR后进行认知监测对于优化手术和康复策略至关重要.
- 这些研究结果支持了解SAVR的认知影响,以改善患者管理.
关键词:
大动脉狭窄症 (AVS)认知结果的认知结果认知稳定性的认知稳定性执行职能 执行职能是指执行职能.神经认知障碍是一种神经认知障碍.神经心理评估神经心理评估手术后认知能力的改善手术上更换大动脉门 (SAVR)语言情节性记忆 - 语言情节性记忆.视觉空间的能力.更多相关视频
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