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认知障碍影响了12-18%的手术患者在手术前,执行功能受到影响最大. 手术后,损伤在一周内上升到35%,在三个月后恢复到基线.

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科学领域:

  • 医学研究 医学研究
  • 神经科学是一个神经科学.
  • 外科手术的结果

背景情况:

  • 认知障碍在手术患者中很常见,但经常被忽视.
  • 手术前的认知缺陷可能会影响手术结果.
  • 了解外科手术期间的认知变化对于患者护理至关重要.

研究的目的:

  • 为了确定手术患者认知领域受损的患病率.
  • 为了分析手术后认知功能的变化.
  • 为了确定最受影响的特定认知领域.

主要方法:

  • 21项研究的系统审查和元分析.
  • 包括5,725名手术患者 (心脏和非心脏).
  • 在手术前和手术后一周和三个月评估认知领域.

主要成果:

  • 在手术前,执行功能 (18%),视觉空间功能 (16%) 和注意力/工作记忆/处理速度 (14%) 是最常见的障碍.
  • 在术后,多个领域的损伤在一周后达到顶峰 (高达35%).
  • 三个月后,认知障碍的患病率降至手术前水平 (12-16%).

结论:

  • 在手术患者手术前存在显著的认知障碍.
  • 手术后的认知功能暂时恶化,但在三个月后恢复.
  • 识别有风险的患者指导了认知查工具的选择,以获得更好的结果.