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Postoperative cognitive dysfunction: Incidence and prevention

机译:术后认知功能障碍:发生率和预防

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Postoperative cognitive dysfunction (POCD) is a decline in cognitive function for weeks or months after surgery Due to its subtle nature, neuropsychological testing is necessary for its detection. The interpretation of literature on POCD is difficult because of numerous methodological limitations, particularly the different definitions of POCD and the lack of data from control groups POCD is common after cardiac surgery, and recent studies have now verified that POCD also exists after major non-cardiac surgery, although at a lower incidence. The risk of POCD increases with age, and the type of surgery is also important because there is a very low incidence associated with minor surgery Regional anaesthesia does not seem to reduce the incidence of POCD, and cognitive function does not seem to improve after carotid surgery as has previously been suggested
机译:术后认知功能障碍(POCD)是手术后数周或数月内认知功能的下降。由于其微妙的性质,需要对其进行神经心理学测试。由于许多方法学上的局限性,尤其是关于POCD的不同定义以及缺乏对照组CDOP数据的现象,心脏外科手术后常见的POCD文献解释是困难的,最近的研究证实,在非心脏手术后POCD也存在手术,尽管发病率较低。 POCD的风险会随着年龄的增长而增加,并且手术的类型也很重要,因为与小手术相关的发生率非常低。区域麻醉似乎并未降低POCD的发生率,并且颈动脉手术后认知功能似乎并未改善如先前所建议

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