综述

右美托咪定改善衰弱老年围术期神经认知障碍的机制及研究进展

  • 徐志燕 ,
  • 陈伟元 ,
  • 姚伟锋
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  • 1.梅州市人民医院 (广东 梅州 514000 )
    2.中山大学附属第三医院手术麻醉中心 (广州 510000 )

收稿日期: 2024-04-01

  网络出版日期: 2024-09-13

基金资助

国家自然科学基金项目(81974081);梅州市人民医院培育项目(PY-C20210020);梅州市科技计划项目(2022B47)

Mechanism and research progress of dexmedetomidine in improving perioperative neurocognitive disorder in frail elderly patients

  • Zhiyan XU ,
  • Weiyuan CHEN ,
  • Weifeng. YAO
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  • *.Meizhou People's Hospital,Meizhou 514000,China

Received date: 2024-04-01

  Online published: 2024-09-13

摘要

随着人口老龄化进程的加速及老年人口数量不断增长,衰弱已成为世界性的公共卫生问题。同时,需要进行手术治疗的老年人越来越多,人们越来越关注术后可能出现的神经认知障碍。衰弱和神经认知障碍相互影响,形成恶性循环,改善其中之一可以提高老年人预后。右美托咪定作为临床常用的麻醉药物之一,具有神经保护作用。本文就衰弱与神经认知障碍的关系以及右美托咪定在改善衰弱老年围术期神经认知障碍中的研究进展进行综述。

本文引用格式

徐志燕 , 陈伟元 , 姚伟锋 . 右美托咪定改善衰弱老年围术期神经认知障碍的机制及研究进展[J]. 实用医学杂志, 2024 , 40(17) : 2503 -2507 . DOI: 10.3969/j.issn.1006-5725.2024.17.025

Abstract

With the acceleration of population aging and the continuous growth of the elderly population, frailty has become a global public health problem. At the same time, an increasing number of elderly people require surgical treatment, and people are paying more attention to the possible postoperative neurocognitive disorder. Frailty and neurocognitive disorder interact with each other, forming a vicious cycle. Improving one of them can improve the prognosis of the elderly. As one of the commonly used anesthetic drugs in clinical practice, dexmedetomidine has neuroprotective effects.This article reviews the relationship between frailty and neurocognitive disorder, as well as the research progress of dexmedetomidine in improving perioperative neurocognitive disorder in frail elderly patients.

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