营养风险/营养不良对成年人术后谵妄的影响及研究现状  

Effect of nutritional risk/malnutrition on postoperative delirium in adults and its current research status

作　　者：罗月 何苗[2] 刘晨欢 陈锦[2] 王雄[2] 兰海 Luo Yue;He Miao;Liu Chenhuan;Chen Jin;Wang Xiong;Lan Hai(Nursing School of Zunyi Medical University,Zunyi 563000,China;Department of Anesthesiology and Surgery Center,Affiliated Hospi-tal of Chengdu University,Chengdu 610081,China;Department of Orthopedics,Affiliated Hospital of Chengdu University,Chengdu 610081,Chin)

机构地区：[1]遵义医科大学护理学院,遵义563000 [2]成都大学附属医院麻醉手术中心,成都610081 [3]成都大学附属医院骨科,成都610081

出　　处：《国际麻醉学与复苏杂志》2025年第1期79-83,共5页International Journal of Anesthesiology and Resuscitation

基　　金：四川省医疗卫生与健康促进会省级科研项目(KY2022SJ0044);四川医院管理和发展研究中心科研项目(SCYG2022‑29);成都大学附属医院院级重点科研项目(Y202203)。

摘　　要：疾病相关性营养不良是全球重大的公共卫生问题,与围手术期并发症和病死率密切相关。术后谵妄(POD)是术后常见的围手术期神经认知功能障碍并发症。相关指南和临床证据均支持营养风险/营养不良是POD术前重要的危险因素。文章概述了营养风险/营养不良及POD的定义和现状,综述了营养风险/营养不良、营养支持、营养相关的人体测量学指标,营养相关的血液标志物,微量元素不足和脱水对POD的影响,拟为完善POD的防控和提高围手术期医疗质量提供参考。Disease‑related malnutrition is a significant global public health issue closely associated with perioperative complications and mortality rates.Postoperative delirium(POD)is a common complication of perioperative neurocognitive dysfunction following surgery.Relevant guidelines and clinical evidence support that nutritional risk/malnutrition is an important preoperative risk factor for POD.This article outlines the definitions and current status of nutritional risk/malnutrition and POD,reviews nutritional risk/malnutrition,nutritional support,nutrition‑related anthropometric indicators,nutrition‑related blood biomarkers,and the effect of micronutrient deficiencies and dehydration on POD.This review aims to provide references for improving the prevention and control of POD and enhancing the quality and safety of perioperative medical care.

关 键 词：营养风险 营养不良 术后谵妄 围手术期 

分 类 号：R614[医药卫生—麻醉学]