不同麻醉方式对老年患者术后认知功能障碍影响的研究进展  

Research Progress on the Effects of Different Anesthesia Methods on Postoperative Cognitive Dysfunction in Elderly Patients

作　　者：杜雨亭 戴中亮 

机构地区：[1]暨南大学第二临床医学院,广东 深圳 [2]深圳市人民医院麻醉科,广东 深圳

出　　处：《临床个性化医学》2024年第4期1568-1572,共5页Journal of Clinical Personalized Medicine

摘　　要：术后认知功能障碍(postoperative cognitive dysfunction, POCD)通常是指发生在麻醉、手术后,尤其是老年人出现认知能力的明显下降,其中包括记忆力、注意力、协调性、定向力、语言流畅性和执行功能。老龄化趋势正在逐年加剧,需要麻醉及手术的老年患者人数也与日俱增。近年来为减少POCD的发生发展,不同麻醉方式已成为讨论热点。本文将现阶段不同麻醉方式对老年患者POCD的影响进行总结,旨在为今后临床麻醉工作提供一定参考。Postoperative cognitive dysfunction (POCD) usually refers to a significant decline in cognitive ability after anesthesia and surgery, especially in the elderly, including memory, attention, coordination, orientation, language fluency and executive function. The aging trend is increasing year by year, and the number of elderly patients requiring anesthesia and surgery is also increasing. In recent years, in order to reduce the occurrence and development of POCD, different anesthesia methods have become a hot topic of discussion. This article summarizes the effects of different anesthesia methods on POCD in elderly patients at this stage, aiming to provide some reference for future clinical anesthesia work.

关 键 词：区域麻醉 全身麻醉 多模式麻醉 老年人手术 术后认知功能障碍 

分 类 号：R61[医药卫生—外科学]