文章摘要
术前焦虑与术后谵妄的研究进展
Research progress on preoperative anxiety and postoperative delirium
  
DOI:10.12089/jca.2023.12.015
中文关键词: 术后谵妄  术前焦虑  发病机制  预防
英文关键词: Postoperative delirium  Preoperative anxiety  Pathogenesis  Prevention
基金项目:国家自然科学基金(81971044)
作者单位E-mail
黄思敏 210008,南京医科大学鼓楼临床医学院  
张伟 南京大学医学院附属鼓楼医院麻醉科  
马正良 210008,南京医科大学鼓楼临床医学院 mazhengliang1964@nju.edu.cn 
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中文摘要:
      术后谵妄(POD)是一种常见的手术并发症,表现为术后注意力和意识的急性和波动性认知能力障碍,严重影响患者的康复,是患者不良预后的预测指标之一。目前临床普遍存在的术前焦虑为POD的独立危险因素,在POD的发生、发展过程中发挥着重要作用。针对术前焦虑患者,采取积极、合理的干预措施,或将有效地减少术后谵妄的发生。本文通过探讨术前焦虑对POD的影响,围绕POD的产生原因、作用机制、预防方法等方面进行综述,以期阐明术前焦虑与POD之间的关系,为POD的防治提供新的思路和方法。
英文摘要:
      Postoperative delirium (POD), a common surgical complication, refers to the acute and fluctuating disturbance in attention and awareness after surgery, which seriously affects the recovery and is one of the predictors of poor prognosis of patients. At present, preoperative anxiety is common in perioperative patients. As the independent risk factors for POD, preoperative anxiety plays an important role in the occurrence and development of POD. Taking active and reasonable intervention measures for patients with preoperative anxiety may effectively reduce the occurrence of POD. This paper reviews the effects of preoperative anxiety on POD, focusing on its mechanism and prevention methods, in order to explore the relationship between preoperative anxiety and POD, which might provide new ideas for the clinic.
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