术后认知功能改善的研究进展  

The research progress on postoperative cognitive improvement

作　　者：张素素[1] 钱燕宁[1] 

机构地区：[1]南京医科大学第一附属医院麻醉科,210029

出　　处：《国际麻醉学与复苏杂志》2015年第11期1012-1015,1027,共5页International Journal of Anesthesiology and Resuscitation

基　　金：国家自然科学基金面上项目（81270429）

摘　　要：背景随着老龄化社会的到来，术后认知功能障碍（postoperativecognitivedysfunction，POCD）受到越来越多临床工作者的关注；同时，近年来的文献不断提示术后认知功能改善（postoperativecognitiveimprovement，POCI）有其可能性。目的探讨影响认知功能的风险因素，综述POCI的研究进展。内容综述POCI的存在、大脑的可塑性、POCI、POCD风险因素的调控以及有助于POCI的干预因素。趋向如何调控POCD的风险因素，使老年患者通过手术改善健康及生活质量的同时向POCI转化将成为今后努力的方向。Background With the advent of an aging society, postoperative cognitive dysfunction （POCD） attract more and more attention of clinicians. At the same time, emerging literature recognize that postoperative cognitive improvement （POC1） is possible. Objective To explore the risk factors of POCD and discuss the research progress of POCI. Content Reviewed mainly from four aspects.＇ the existence of POCI, the brain plasticity and POCI, the regulation of the risk factors of POCD and the interventions conducive to POCI Trend control of the risk factors of POCD, and improve the health and quality of life of elderly patients through surgery and simultaneously make them experience POCI will become the future directions.

关 键 词：术后认知 功能改善 

分 类 号：R614[医药卫生—麻醉学]