CAJ | 학술논문

背景术后认知功能障碍(postoperative cognitive dysfunction,POCD)是一种术后并发症,可严重影响患者的预后. 目的就围术期可能影响POCD的因素进行详细的阐述,以指导临床工作者更好地识别高危患者,加强围术期的管理,预防降低POCD的发生发展. 内容目前认为POCD的影响因素是多方面的,包括患者一般情况、遗传因素、环境因素、术前合并的疾病、手术类型与时间、麻醉方式、药物使用等. 趋向仍需要对POCD影响因素及发病机制进行深入的研究并发现、选择有效的预警指标,从而降低POCD的发生发展.
배경 술후인지공능장애(postoperative cognitive dysfunction,POCD)시일충술후병발증,가엄중영향환자적예후. 목적 취위술기가능영향POCD적인소진행상세적천술,이지도림상공작자경호지식별고위환자,가강위술기적관리,예방강저POCD적발생발전. 내용 목전인위POCD적영향인소시다방면적,포괄환자일반정황、유전인소、배경인소、술전합병적질병、수술류형여시간、마취방식、약물사용등. 추향 잉수요대POCD영향인소급발병궤제진행심입적연구병발현、선택유효적예경지표,종이강저POCD적발생발전.
Background Postoperative cognitive dysfunction(POCD) is a post-operative complications,can seriously affect the patient's prognosis.Objective Perioperative factors that may affect POCD in detail to guide clinicians to better identify patients at high risk,strengthen the management of perioperative prevention to reduce the occurrence of POCD development.Content Currently considered that POCD is affected by many factors,including the basic situation of patient,genetic factors,environmental factors,preoperative disease,type of surgery,anesthesia,drug use.Trend The POCD influencing factors and pathogenesis still need to be in-depth study and found effective early warning indicators,and thus lower the occurrence of POCD.