老年患者的术后神经认知恢复:叙述性审查
Ulrica Nilsson1, Anahita Amirpour1, Maria Lampi1,2,3
1Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Clinical interventions in aging
|December 22, 2025
概括
外科手术后老年人经常出现外科手术期间的神经认知障碍,影响患者和家属. 本综述探讨了了解,评估和管理这些疾病的进展,以改善患者的治疗结果.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 麻醉学 麻醉学
背景情况:
- 经手术时出现的神经认知障碍 (PND),如妄和神经认知障碍,是老年手术患者经常出现的并发症.
- 这些情况影响10-60%的大型手术患者,增加了长期认知和情绪问题的风险.
- 目前的诊断工具未得到充分利用,导致许多未被诊断的病例.
研究的目的:
- 审查近期在外科手术期间神经认知恢复方面的进展.
- 专注于PNDs的症状学,患者/家庭经验,评估,干预和伦理考虑.
主要方法:
- 这项研究是关于外科手术期间神经认知障碍的当前文献的叙述性综述.
- 它综合了评估工具,患者报告的结果和护理策略的信息.
主要成果:
- 后遗症可能会导致持久的认知和情绪问题,对患者和家人来说是痛苦的.
- 关于患者的自主权和决策能力,出现了伦理困境.
- 缺乏标准化的患者信息和神经认知恢复的有效干预措施.
结论:
- 需要改善诊断,以患者为中心的信息和基于证据的干预措施.
- 解决对患者和家人的心理和伦理影响至关重要.
- 进一步研究促进神经认知恢复是有必要的.
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