生活安排对老年患者外科手术后认知功能障碍的影响
Kun Yu1, Fo-Quan Luo2, Yi-Feng Zhu3
1Department of Anesthesiology, The First Affiliated Hospital, Jiangxi Medical College Nanchang University, Nanchang, Jiangxi Province.
The Journal of craniofacial surgery
|March 18, 2025
概括
独自生活或在养老院的老年患者在胃肠道癌症手术后面临更高的术后认知功能障碍 (POCD) 风险. 生活方式显著影响老年手术患者的认知结果.
科学领域:
- 老年医学 老年医学
- 手术瘤学手术瘤学
- 神经科学是一个神经科学.
背景情况:
- 术后认知功能障碍 (POCD) 是老年手术患者的一个重大问题.
- 生活方式可能会影响POCD的风险和严重程度.
- 了解这些因素可以为术后护理策略提供信息.
研究的目的:
- 调查手术前生活安排对经过胃肠道癌症手术的老年患者中手术前神经认知功能障碍 (PND) 的发生率的影响.
- 确定与增加PND风险相关的特定生活情况.
主要方法:
- 一组由162名老年患者组成的队列,他们接受了胃肠道癌症的腹腔镜激进手术,根据生活安排被分为五组.
- 认知功能在术前和术后使用迷你精神状态检查 (MMSE) 和蒙特利尔认知评估 (MoCA) 尺度进行评估.
- 使用后勤回归分析来确定POCD的风险因素.
主要成果:
- 虽然基线特征相似,但在生活安排组中观察到术前认知得分和术后POCD患病率的显著差异.
- 独自生活或在养老院生活与术后第3天和第5天的POCD患病率更高有关.
- 生活安排成为POCD的重要风险因素,特别是在第5天.
结论:
- 手术前的生活安排是影响POCD在老年患者手术后发生的关键因素.
- 独居或在养老院的老年患者患POCD的可能性更高.
- 这些发现强调了在老年人手术后认知健康管理中考虑社会和生活环境的重要性.
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