摘要
老年糖尿病患者术后认知功能障碍(POCD)的发病机制包括多种因素,糖尿病致血管病变、神经损伤、炎性因子释放、手术创伤、麻醉因素等。糖尿病患者POCD机制尚不完全明确,阐明发生的机制将为糖尿病患者围手术期管理、术中麻醉管理及治疗糖尿病POCD提供思路。
The pathogenesis of elderly diabetes patients with postoperative cognitive dysfunction (POCD) has a variety of factors, including diabetic vascular lesions, nerve injury, inflammation factor release, surgical trauma, anesthetic factors, etc. Diabetes POCD mechanism is not fully clear, to clarify the mechanism will provide perspectives for perioperative management of diabetic patients, intraoperative anesthetic management and treatment of diabetes mellitus POCD.
作者
王莹
陈宏志
Wang Ying;Chen Hongzhi.(Department of Anaesthesiology, Sheng]ing Hospital Affiliated to China Medical University, Shenyang 110004, China)
出处
《中国医师进修杂志》
2018年第5期471-475,共5页
Chinese Journal of Postgraduates of Medicine
关键词
糖尿病
认知障碍
老年人
围手术期
Diabete
Cognitive dysfunction
Elderly
Perioperative