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神经炎症是预防和治疗围手术期神经认知障碍的一个潜在靶点。

Neuroinflammation is a putative target for the prevention and treatment of perioperative neurocognitive disorders.

机构信息

Department of Anesthesia, CHU-Charleroi, Université Libre de Bruxelles, Charleroi, Belgium.

Department of Anesthesia and Perioperative Care, University of California, San Francisco, 1001 Potrero Avenue Box 1363, San Francisco, CA 94143, USA.

出版信息

Br Med Bull. 2019 Jun 19;130(1):125-135. doi: 10.1093/bmb/ldz010.

Abstract

INTRODUCTION

The demographics of aging of the surgical population has increased the risk for perioperative neurocognitive disorders in which trauma-induced neuroinflammation plays a pivotal role.

SOURCES OF DATA

After determining the scope of the review, the authors used PubMed with select phrases encompassing the words in the scope. Both preclinical and clinical reports were considered.

AREAS OF AGREEMENT

Neuroinflammation is a sine qua non for development of perioperative neurocognitive disorders.

AREAS OF CONTROVERSY

What is the best method for ameliorating trauma-induced neuroinflammation while preserving inflammation-based wound healing.

GROWING POINTS

This review considers how to prepare for and manage the vulnerable elderly surgical patient through the entire spectrum, from preoperative assessment to postoperative period.

AREAS TIMELY FOR DEVELOPING RESEARCH

What are the most effective and safest interventions for preventing and/or reversing Perioperative Neurocognitive Disorders.

摘要

简介

手术人群老龄化的人口统计学增加了围手术期神经认知障碍的风险,其中创伤诱导的神经炎症起着关键作用。

数据来源

在确定审查范围后,作者使用了包含在范围中的单词的 PubMed 和选择短语。同时考虑了临床前和临床报告。

共识领域

神经炎症是围手术期神经认知障碍发展的必要条件。

争议领域

在不影响基于炎症的伤口愈合的情况下,改善创伤诱导的神经炎症的最佳方法是什么。

增长点

这篇综述考虑了如何通过从术前评估到术后期间的整个过程来准备和管理脆弱的老年手术患者。

及时发展研究的领域

预防和/或逆转围手术期神经认知障碍最有效和最安全的干预措施是什么。

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