老年术后认知功能障碍研究进展及思考

A Philosophical Point of View to Examine Postoperative Cognitive Dysfunction in Elderly

术后认知功能障碍(postoperative cognitive dysfunction,POCD)是临床上老年患者术后常见的并发症,主要表现为精神活动、人格、记忆力和社交活动以及认知能力的异常,渐渐为患者和医学工作者所重视,但其病因和发病机制尚不清楚。运用哲学的基本原理,掌握科学的方法论和辩证思维方法,有助于正确分析POCD的相关病因及其发病机制,从而更好定指导临床工作。

Postoperative cognitive dysfunction （POCD） is a common clinical complication after surgery in elderly patients, mainly affecting cognitive and memory functions, personal, spiritual and other social activities. POCD is one of the cogni- tive disorders, gradually being valued by patients and medical workers today but its etiology and pathogenesis is unclear. The use of the basic principles of philosophy, master of sciences, methodology and dialectical way of thinking, in analyzing the etiology and pathogenesis of POCD is a better guide to clinical work.