文章摘要
神经细胞衰老在围术期神经认知障碍中作用的研究进展
Research progress of nerve cell senescence and its effect on perioperative neurocognitive disorder
  
DOI:10.12089/jca.2025.02.016
中文关键词: 围术期神经认知障碍  衰老  神经元  神经胶质细胞  稳态
英文关键词: Perioperative neurocognitive disorder  Senescence  Neuron  Glial cells  Homeostasis
基金项目:江苏省科技厅省级重点研发计划(社会发展)面上项目(BE2021748)
作者单位E-mail
周航 210011,南京医科大学第二附属医院麻醉科  
熊强飞 210011,南京医科大学第二附属医院麻醉科  
姚昊 210011,南京医科大学第二附属医院麻醉科 yaohao@njmu.edu.cn 
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中文摘要:
      围术期神经认知障碍(PND)是一种常见的神经系统并发症,指在围术期患者发生认知能力下降、记忆受损等。PND在老年患者中的发生率显著高于年轻患者。衰老神经元结构和功能的改变导致大脑稳态失衡,具体表现为老年患者的认知能力、记忆能力、注意力以及运动协调能力明显下降。手术、麻醉和疼痛等刺激更易导致老年患者大脑稳态失调,最终引起PND的发生。本文对神经细胞衰老发生的变化以及因此促使PND的发生进行综述。
英文摘要:
      Perioperative neurocognitive disorder (PND) is a common neurologic complication, which refers to the occurrence of cognitive decline, memory impairment, etc. during the perioperative period in patients, and the incidence rate of PND in older patients is significantly higher than that in younger patients. Changes in the structure and function of aging neurons lead to brain homeostasis instability, as evidenced by the fact that cognition, memory, attention, and motor coordination in elderly patients show significantly decreased. Stimuli such as surgery, anesthesia, and pain are more likely to lead to dysregulation of brain homeostasis in older patients, ultimately causing PND. This article provides an overview of the changes that occur in neuronal cellular senescence and, as a result, contribute to the onset of PND.
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