Department of Anesthesiology, Box 1010 Mount Sinai School of Medicine, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA.
Prog Neuropsychopharmacol Biol Psychiatry. 2013 Jun 3;43:108-15. doi: 10.1016/j.pnpbp.2012.11.005. Epub 2012 Dec 6.
A number of serious clinical cognitive syndromes occur following surgery and anesthesia. Postoperative delirium is a behavioral syndrome that occurs in the perioperative period. It is diagnosed through observation and characterized by a fluctuating loss of orientation and confusion. A distinct syndrome that requires formalized neurocognitive testing is frequently referred to as postoperative cognitive dysfunction (POCD). There are serious concerns as to whether either postoperative delirium or postoperative cognitive dysfunction leads to dementia. These concerns are reviewed in this article.
手术后和麻醉后会出现一些严重的临床认知综合征。术后谵妄是一种发生在围手术期的行为综合征。它通过观察来诊断，其特征是定向力波动和意识混乱。一种需要进行规范化神经认知测试的明显综合征通常被称为术后认知功能障碍（POCD）。人们非常关注术后谵妄或术后认知功能障碍是否会导致痴呆。本文对这些问题进行了综述。
