老年患者术前轻度认知障碍评估的研究进展  

Assessment of Preoperative Mild Cognitive Impairment in Elderly Patients

作　　者：李芳芳 张加强 LI Fangfang;ZHANG Jiaqiang(Department of Anesthesiology and Perioperative Medicine,People’s Hospital of Zhengzhou University,Zhengzhou 450003,China)

机构地区：[1]郑州大学人民医院麻醉与围术期医学科,河南郑州450003

出　　处：《河南医学研究》2024年第5期956-960,共5页Henan Medical Research

摘　　要：轻度认知障碍(MCI)在老年人中的发病率较高,术前存在的认知损伤可能会增加围手术期神经认知障碍发生的风险,影响老年患者的身心健康。术前认知功能筛查具有重要价值,但这种做法尚未得到广泛实施。MCI的主要检测方法是神经心理学量表,国内外研究提出了多种认知评估量表。适用于术前环境的筛查工具需要具有易于临床管理、简短快速、且有效可靠的特征,哪种量表适用于术前认知筛查目前尚未达成共识。开发更高效简洁的认知筛查工具仍是未来研究的方向。Mild cognitive impairment(MCI)is prevalent in the elderly.The presence of preoperative cognitive impairment may increase the risk of developing perioperative neurocognitive impairment and affect the physical and mental health of elderly patients.It is of great value to perform preoperative cognitive screening.However,this practice has not been widely implemented.Primary test for MCI is the neuropsychological scales.Several cognitive assessment scales have been proposed in national and international studies.Screening tools appropriate for the preoperative setting need to be clinically manageable,brief and rapid,and valid and reliable.There is no consensus on which scales are appropriate for preoperative cognitive screening.The development of more efficient and simple cognitive screening tools remains a future endeavor.

关 键 词：轻度认知障碍 神经心理学量表 老年患者 术前评估 

分 类 号：R749.1[医药卫生—神经病学与精神病学]