Ren Xuli, Huiqiao Lian, Wu Yuntu, Zhang Te, Chen Peng, Li Longyun, Zhao Guoqing, Wang Fang
Jilin University, Changchun, China.
Department of Anesthesiology, The Third Hospital of Jilin University, Changchun, Jilin, China.
Front Neurol. 2025 Aug 26;16:1526021. doi: 10.3389/fneur.2025.1526021. eCollection 2025.
Perioperative neurocognitive disorders (PNDs) encompass a spectrum of cognitive impairments that may affect patients before, during, or after surgical procedures, with significant implications for patient outcomes, and healthcare expenditures. This comprehensive review examines the evolution of PND terminology, clinical manifestations, diagnostic criteria, incidence rates, risk factors, underlying mechanisms, preventive measures, management strategies, and future research directions. The authors emphasize the importance of early diagnosis and intervention to enhance postoperative recovery and underscore the necessity of a multidisciplinary approach to patient care.
围手术期神经认知障碍（PNDs）涵盖一系列认知障碍，这些障碍可能在手术前、手术期间或手术后影响患者，对患者的预后和医疗费用有重大影响。这篇综述全面审视了PND的术语演变、临床表现、诊断标准、发病率、危险因素、潜在机制、预防措施、管理策略以及未来的研究方向。作者强调早期诊断和干预对促进术后恢复的重要性，并强调采用多学科方法进行患者护理的必要性。
