国际麻醉学与复苏杂志   2012, Issue (2): 1-1
    
炎症反应在术后认知功能障碍和阿尔兹海默病中的作用
毛煜, 顾尔伟1()
1.安徽医科大学第一附属医院麻醉科
inflammation in postoperative cognitive dysfunction and Alzheimer’s diseas
 全文:
摘要:

背景 术后认知功能障碍(postoperative cognitive dysfunction, POCD)是老年患者术后常见的中枢神经系统并发症,阿尔兹海默病(alzheimer′s disease, AD)是一种年龄相关性神经退行性疾病,神经突触和神经细胞丢失、老年斑形成和神经原纤维缠结是其主要病理特征。目的 现就炎症反应在POCD和AD中的研究进展作一综述,为防治POCD和AD发生发展提供新的途径。内容 研究表明炎症反应在POCD和AD的发病机制中均起着重要作用,抗炎治疗可减缓POCD和AD患者病程。 趋向 深入研究炎症反应在POCD和AD中的作用机制,有效的阻断或降低炎症反应,为POCD和AD的防治提供新的思路。

关键词: 术后认知功能障碍 阿尔兹海默病 炎症反应
Abstract:

Background Postoperative cognitive dysfunction (POCD) is a common central neurosystem complication in elderly patients after surgery. Alzheimer′s disease (AD) is a progressive neurodegenerative disorder among older adults. The pathological characteristics of AD reveal the loss of neurons and synapse,the presence of amyloid plaques and the tangles of neurofibrils. Objective We try to investigate the effects of inflammation in POCD, then could provide an different method to prevent and treat POCD and AD. Content Some studies suggested that inflammation contributed to the pathogenesis of POCD and AD. Anti-inflammatory approaches would help slow their progression. Trend By better understanding the mechanisms of inflammation contributed to POCD and AD, it should be possible to develop anti-inflammatory approaches that may provide an effective way to the preventand cure POCD and AD .

Key words: postoperative cognitive dysfunction Alzheimer’s disease inflammation