老年肿瘤患者合并术后认知功能障碍的影响因素及诊断防治策略

Advances in prevention and treatment of elderly cancer patients with postoperative cognitive dysfunction

摘要:

术后认知功能障碍（POCD）是患者在全身麻醉和手术后出现的中枢神经系统损害。老年肿瘤患者由于肿瘤本身原因、年龄、合并多种内科疾病等因素，在全身麻醉后更容易发生POCD。本文综合评述了老年肿瘤患者术后并发POCD的常见诱因、病理生理改变、临床表现、诊断要点、治疗及预防等。

Abstract:

Postoperative cognitive dysfunction is the central nervous system damage that occurs after general anesthesia and surgery. Elderly patients with tumors are more likely to develop postoperative cognitive dysfunction after general anesthesia due to the tumor itself, age, and multiple medical diseases. This article comprehensively reviews the common causes, pathophysiological changes, clinical manifestations, diagnosis points, treatment and prevention of postoperative cognitive impairment in elderly patients with tumors.