老年关节置换术后患者认知功能障碍的研究进展  

Research Progress of Postoperative Cognitive Dysfunction in Elderly Patients after Arthroplasty

作　　者：李艳华[1] 刘天啸[1] LI Yan-hua;LIU Tian-xiao(Guangxi Zhuang Autonomous Region Guilin Hospital of Traditional Chinese Medicine, Guilin 541002, China)

机构地区：[1]广西壮族自治区桂林市中医医院麻醉科,541002

出　　处：《实用心脑肺血管病杂志》2017年第B12期212-213,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：桂林市科学研究与技术开发计划项目(2016012707-1)

摘　　要：术后认知功能障碍(POCD)是老年关节置换手术患者的常见中枢神经系统并发症,其可导致老年患者记忆力衰退、语言理解能力和注意力下降及社会适应能力逐渐减退等,不仅严重影响到老年患者康复效果,同时还降低了老年患者的生活质量。目前,老年关节置换手术患者发生POCD的机制尚不明确,可能与患者自身因素、手术及麻醉有关。为此,笔者综合近年临床研究结果,旨在综述老年关节置换手术患者POCD的研究进展。Postoperative cognitive dysfunction(POCD)is a common central nervous system complication in elderly patients after arthroplasty,it easily lead to memory impairment,language comprehension disfunction,decreased attentiveness and diminished social adaptability in elderly patients.Not only seriously affect the prognosis of elderly patients after surgery it also severely reduced the quality of life.However,mechanism of POCD in elderly patients with joint replacement is not clear,may be related to the patient's own factors,surgery and anesthesia.To this end,the author synthesizes the results of clinical research in recent years,in order to review the research progress of POCD in elderly patients with joint replacement surgery.

关 键 词：认知功能障碍 关节置换术 手术后并发症 老年人 综述 

分 类 号：R741[医药卫生—神经病学与精神病学]