CAJ | 학술논문

目的通过对高龄患者术后认知功能障碍(POCD)的临床观察,了解其原因、临床表现,并给予相应的防治,促进患者早期康复.方法回顾性分析50例患者在不同手术后出现认知功能障碍的临床特点、发生原因及防治措施.结果经对症处理及综合治疗后,35例患者术后1周内认知功能障碍好转,13例术后2周内好转,2例术后随访半年仍有认知功能障碍,但较住院期间明显好转.结论高龄患者术后POCD发病率高,危害大,应早期预防及时诊治,加强护理,消除术前焦虑,纠正围术期各种生理、病理紊乱,提高高龄患者的生活质量.
목적통과대고령환자술후인지공능장애(POCD)적림상관찰,료해기원인、림상표현,병급여상응적방치,촉진환자조기강복.방법회고성분석50례환자재불동수술후출현인지공능장애적림상특점、발생원인급방치조시.결과경대증처리급종합치료후,35례환자술후1주내인지공능장애호전,13례술후2주내호전,2례술후수방반년잉유인지공능장애,단교주원기간명현호전.결론고령환자술후POCD발병솔고,위해대,응조기예방급시진치,가강호리,소제술전초필,규정위술기각충생리、병리문란,제고고령환자적생활질량.
Objective Through clinical observation of Postoperative Cognitive Dysfunctionthe in elderly patients, understanding of its causes, clinical manifestations, and give appropriate prevention, promote early rehabilitation. Methods Retrospective analysis of 50 patients with clinical features of cognitive dysfunction after surgery, causes and prevention measures. Results After symptomatic treatment and comprehensive treatment, 35 patients 1 week after surgery cognitive dysfunction improved after 2 weeks of 13 cases improved, and 2 patients were followed up for six months still cognitive dysfunction, but more significant improvement during hospitalization. Conclusion Elderly patients with POCD high incidence of harm, timely diagnosis and treatment should be early prevention, enhanced care, elimination of preoperative anxiety to correct perioperative various physiological and pathological disorders, improve the quality of life of elderly patients.