|
| 神经阻滞对老年患者髋部骨折手术围术期神经认知功能的影响及其机制 |
| Influences of nerve block on perioperative neurocognitive disorder in elderly patients undergoing hip fracture surgery and its mechanisms |
| |
| DOI：10.12089/jca.2026.07.012 |
| 中文关键词: 神经阻滞 老年 髋部骨折 围术期神经认知障碍 术后谵妄 |
| 英文关键词: Nerve block Aged Hip fracture Perioperative neurocognitive disorders Postoperative delirium |
| 基金项目:甘肃省自然科学基金（21JR11RA007） |
| 作者 | 单位 | E-mail | | 李雯 | 730000,兰州市,中国人民解放军联勤保障部队第九四〇医院麻醉科 | | | 马建萍 | 730000,兰州市,中国人民解放军联勤保障部队第九四〇医院麻醉科 | | | 张舸 | 730000,兰州市,中国人民解放军联勤保障部队第九四〇医院麻醉科 | | | 移建梅 | 730000,兰州市,中国人民解放军联勤保障部队第九四〇医院麻醉科 | | | 汪惠文 | 730000,兰州市,中国人民解放军联勤保障部队第九四〇医院麻醉科 | 42898414@qq.com |
|
| 摘要点击次数: 95 |
| 全文下载次数: 33 |
| 中文摘要: |
| 髋部骨折是老年人群中常见且具有高致残率和高死亡率的严重创伤，围术期神经认知障碍（PND）是其常见并发症之一，严重影响患者术后恢复及生活质量。神经阻滞技术因其镇痛效果确切、减少麻醉药物使用、减轻术中应激反应等优势，在降低PND发生的方面表现出潜在价值。本文综述了髂筋膜间隙阻滞、髋关节囊周神经阻滞、股神经阻滞及坐骨神经阻滞等不同神经阻滞方式对老年髋部骨折患者认知功能的影响及神经阻滞技术改善认知功能的作用机制，为老年髋部骨折术中麻醉方式优化及术后认知功能保护提供临床参考。 |
| 英文摘要: |
| Hip fracture is a common severe trauma with high morbidity and mortality in the elderly. Perioperative neurocognitive impairment (PND ) is one of the common complications, which seriously affects the postoperative recovery and quality of life of patients. Nerve block technology has shown potential value in reducing the occurrence of PND due to its advantages such as accurate analgesic effect, reduced use of anesthetic drugs, and reduced intraoperative stress response. This article reviews the effects of different nerve block methods such as fascia iliaca compartment block, pericapsular nerve block of hip joint, femoral nerve block and sciatic nerve block, on cognitive function in elderly patients with hip fracture and the mechanism of nerve block technology to improve cognitive function, so as to provide clinical reference for the optimization of intraoperative anesthesia and the protection of postoperative cognitive function in elderly patients with hip fracture. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
