帕金森病脑深部电刺激术后谵妄防治专家共识  

Expert consensus on the prevention and treatment of delirium after deep brain stimulation surgery for Parkinson′s disease

作　　者：中华医学会神经外科分会功能神经外科学组 中国医师协会神经外科医师分会功能神经外科学组 中国医师协会神经调控专业委员会 牛朝诗 于炎冰[3] 张建国[4] Functional Neurosurgery Group of the Neurosurgery Branch of the Chinese Medical Association;Functional Neurosurgery Group of Chinese Congress of Neurological Surgeons;Chinese Neuromodulation Society;Niu Chaoshi;Yu Yanbing;Zhang Jianguo(不详;Department of Neurosurgery,the First Affiliated Hospital of USTC,Division of Life Sciences and Medicine,University of Science and Technology of China,Hefei 230001,China;Department of Neurosurgery,China-Japan Friendship Hospital,Beijing,100029,China;Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]不详 [2]中国科学技术大学附属第一医院(安徽省立医院)神经外科,合肥230001 [3]中日友好医院神经外科,北京100029 [4]首都医科大学附属北京天坛医院神经外科,北京100070

出　　处：《中华医学杂志》2025年第9期661-672,共12页National Medical Journal of China

基　　金：安徽省高校优秀科研创新团队项目(2023AH010080);安徽省医疗卫生重点专科建设项目[皖卫函(2021)273号]。

摘　　要：术后谵妄是帕金森病脑深部电刺激术后常见的并发症,影响帕金森病患者的短期和长期预后。随着帕金森病脑深部电刺激术的广泛应用,术后谵妄的防治也日益受到关注。为促进帕金森病脑深部电刺激术后谵妄防治的标准化与规范化,减少帕金森病脑深部电刺激术后谵妄的发生和获得更好的预后,中华医学会神经外科分会功能神经外科学组、中国医师协会神经外科医师分会功能神经外科学组和中国医师协会神经调控专业委员会组织神经外科、神经内科等学科专家,在系统回顾与总结帕金森病脑深部电刺激术后谵妄相关国内外文献及临床证据基础上编写此专家共识,就其流行病学、发病机制、危险因素、诊断、治疗及预防等方面进行了论述并形成14条推荐建议,为临床诊疗及预防帕金森病脑深部电刺激术后谵妄方面的工作提供参考与指导。Postoperative delirium is a common complication of deep brain stimulation in Parkinson′s disease,which affects the short-term and long-term prognosis of Parkinson′s disease patients.With the continuous development of deep brain stimulation for Parkinson′s disease in China,the prevention and treatment of postoperative delirium has also received increasing attention.To promote standardization and normalization of the prevention and treatment of delirium after deep brain stimulation for Parkinson′s disease,reduce the occurrence of delirium after deep brain stimulation for Parkinson′s disease in China,and achieve better prognosis.The Functional Neurosurgery Group of the Neurosurgery Branch of the Chinese Medical Association,Functional Neurosurgery Group of Chinese Congress of Neurological Surgeons and Chinese Neuromodulation Society organized experts with experience in deep brain stimulation for Parkinson′s disease to write this consensus.Based on a systematic review and summary of domestic and international literature and clinical evidence related to delirium following deep brain stimulation for Parkinson′s disease,this expert consensus was developed.It discusses six aspects:epidemiology,pathogenesis,risk factors,diagnosis,treatment,and prevention,and forms 14 recommended suggestions,providing reference and guidance for clinical diagnosis,treatment,and prevention of delirium after deep brain stimulation surgery in Parkinson′s disease.

关 键 词：帕金森病 脑深部电刺激术 术后谵妄 预防和治疗 专家共识 

分 类 号：R74[医药卫生—神经病学与精神病学]