老年人围术期神经系统并发症

doi:10.3969/j.issn.1673-5765.2019.03.020

摘要/Abstract

摘要：

外科手术围术期的神经系统并发症是患者预后差及死亡的重要原因，其发病风险与年龄的增长存在密切的关系。随着老龄化的进展，老年患者手术的比例随之增加，围术期神经系统并发症正逐渐引起人们的重视。本文主要总结围术期卒中、术后认知功能改变的机制和危险因素。并讨论脑损伤的预防方法与脑保护策略，为临床实际应用提供理论依据。

文章导读： 围术期神经系统并发症多见术后卒中、认知功能障碍、痫性发作，可能与基础血管病变、术中血液灌注改变、麻醉因素等相关，临床应重视可能导致神经系统并发症的危险因素，进行个体化患者围术期管理。

关键词: 老年人; 围术期; 卒中; 认知功能障碍; 麻醉

Abstract:

Peri-operative neurological complications are the major cause of poor prognosis and death in patients, and the occurrence risk of complications is closely related with the increasing age. With the population aging, the proportion of elderly patients with surgery increased, perioperative neurological complications in the aged gradually aroused more attention. This article summarized the mechanism and risk factors of perioperative stroke and postoperative cognitive function impairment, and the prevention of brain injury and cerebral protection strategies, to provide a reference for clinical practice.

Key words: Elderly; Perioperative; Stroke; Cognitive impairment; Anesthesia

甄灼，王辉. 老年人围术期神经系统并发症[J]. 中国卒中杂志, 2019, 14(03): 287-292.

ZHEN Zhuo, WANG Hui. Peri-operative Neurological Complications in the Eldly People[J]. Chinese Journal of Stroke, 2019, 14(03): 287-292.

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