麻醉作为长期认知衰退的危险因素:前性MAAS队列研究结果
Christoph H Pennings1, Martin Van Boxtel, Dianne De Korte-De Boer
1From the Department of Anaesthesiology and Pain Medicine, Division for Acute and Critical Care, Maastricht University Medical Centre, The Netherlands (CHP, DDeK-DeB, CJV), School for Mental Health and Neuroscience, Maastricht University, The Netherlands (MVB), and Department of Anaesthesiology, Division of Vital Functions, University Medical Centre Utrecht, The Netherlands (WB).
长时间暴露于全身麻醉会对认知功能产生负面影响,包括执行功能,选择性注意力和处理速度. 年龄,教育和健康因素也显著影响长期认知能力下降.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 麻醉学 麻醉学
背景情况:
- 人们对重复暴露于全身麻醉的长期认知影响存在担忧.
- 了解麻醉和认知衰退之间的关系对于患者护理至关重要.
研究的目的:
- 研究在全身麻醉下进行手术的总体暴露与长期认知发展之间的关联.
- 为了确定麻醉暴露是否独立地导致认知能力下降.
主要方法:
- 荷兰的前性纵向队列研究.
- 1823名具有正常认知能力的成年人 (25-84岁) 进行了连续认知评估,持续了12年.
- 线性混合模型分析了总麻醉时间对认知领域的影响.
主要成果:
- 长时间的全身麻醉暴露对执行功能,选择性注意力和信息处理速度产生了负面影响.
- 受影响的认知领域包括CST,Stroop和LDST.
- 年龄和教育是认知能力下降的主要因素;高血压,糖尿病和吸烟也产生了负面影响.
结论:
- 增加对全身麻醉的暴露独立地导致长期认知能力下降.
- 人口和健康因素是加速认知衰退的重要因素.
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