老年认知功能量表对老年患者POCD的评价

Evaluation of POCD in Elderly Patients with the Scale of Elderly Congitive Function

目的探讨老年认知功能量表(scale of elderly congitive fuction,SECF)对老年患者术后认知功能障碍(postoperative cognitive dysfunction,POCD)的评价效应。方法行择期手术的老年患者92例,分别于手术前1d、术后1d、3d以及7d利用SECF量表行认知功能测定。结果共88名患者完成神经心理测试,POCD发生率在术后1d、3d以及7d分别为32.95%,26.14%以及19.32%;除定向和长记忆外,其余各项认知能力均有不同程度下降。结论 SECF在一定程度上可以反映老年患者术后认知功能的改变,但其敏感性和特异性仍有待于大样本的临床研究。

Objective To investigate the application of the scale of elderly congitive function（SECF） on postoperative cognitive dysfunction（POCD） in the elderly patients.Methods The SECF was performed preoperatively on day 1,and postoperatively on day 1,day 3 and day 7 upon 92 elderly patients.Results All of 88 patients completed the neuropsychological testing,the postoperative incidence rate of POCD was 32.95% on day 1,26.14% on day 3 and 19.23% on day 7.Conclusions In a certain extent,the SECF can reflect the change of postoperative cognitive function in elderly patients,but its sensitivity and specificity remains to be a large sample of clinical research.