在心脏手术后48个月评估长期轻度和重大神经认知障碍
Mercedes Florido-Santiago1, Luis M Pérez-Belmonte1,2,3, José P Lara1
1Unidad de Salud Cerebral, Facultad de Medicina, Centro de Investigaciones Médico Sanitarias (CIMES), Universidad de Málaga (UMA), Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.
International journal of geriatric psychiatry
|November 18, 2025
概括
心脏外科手术与神经认知障碍 (NCD) 的显著发病率有关,直至手术后48个月. 在上的手术显示了较大的非传染性疾病的风险更高,突出了评估和预防策略的需要.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 心脏手术可能会影响认知功能.
- 神经认知障碍 (NCD) 是一个潜在的并发症.
- 了解长期认知结果至关重要.
研究的目的:
- 确定心脏手术后轻度和重度神经认知障碍 (NCD) 的发生率.
- 为了比较外和内程序之间的结果.
- 确定与非传染性疾病相关的风险因素.
主要方法:
- 70名患者的前性研究,在手术前和后进行评估 (1, 6, 12, 48个月).
- 使用Neuronorma电池评估认知功能.
- 适用于诊断轻度和重度NCD的DSM-5标准.
主要成果:
- 在48个月内,40.8% (离) 和39.3% (在) 发展了轻度的非传染性疾病.
- 7.1%的患者患有重大非传染性疾病.
- 与轻度NCD相关的临床因素;与重大NCD相关的临床和手术因素.
结论:
- 在心脏手术后的48个月内,轻度和重度非传染性疾病的长期发病率显著.
- 在上的手术显示了NCD的更高强度.
- 建议制定评估,预防和治疗策略.
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