国际麻醉学与复苏杂志   2018, Issue (5): 3-3
    
神经心理学测试在评价术后认知功能障碍中的应用进展
郝亚楠, 罗婷, 吴安石1()
1.首都医科大学附属北京朝阳医院
Neuropsychological tests in evaluating postoperative cognitive dysfunctions
 全文:
摘要:

背景 术后认知功能障碍(postoperative cognitive dysfunction, POCD)是手术后常见的中枢神经系统并发症,但其临床诊断方法缺乏特异性与统一性,诊断POCD的主流方法为神经心理学测试。 目的 对临床诊断POCD的常用神经心理学测试进行综述,为POCD的进一步研究提供参考。 内容 列举并描述临床常用认知功能测试的多个神经心理学量表及其存在的优缺点,介绍国际领先水平POCD研究组的测试组合。 趋向 多种测试方法组合从不同方面评价认知功能取代国内较为单一的评价方法,从而使POCD的临床诊断更加准确。

关键词: 术后认知功能障碍; 神经心理学量表
Abstract:

Background Postoperative cognitive dysfunction (POCD) is a common neurological complication after surgery. Many neuropsychological tests have been used to assess POCD, but these methods lack of specificity and consistency. Objective To summarize the currently used neuropsychological tests for clinical diagnosis of POCD. Content POCD includes a wide range of deficits in orientation, learning and memory, language, comprehension, and logical thinking, etc. Lacking of standard diagnostic criteria, POCD is identified largely relying on patients' performance in tests with many neuropsychological scales, including the Minimum Mental State Examination, The Montreal Cognitive Assessment, Wechsler Adult Intelligence Scale, the Paper and Pencil Memory Scanning test, the Letter Cancellation test, Trail?蛳making tests, the Concept Shifting test, the Stroop colour word interference test, the Gorrved Pegboard, and the Four Boxes test. This review describes the advantages and disadvantages of these scales. Trend As cognitive function is a multifaceted behavior, a battery of neuropsychological scales to evaluate different aspects of cognition is required for the diagnose of POCD.

Key words: Postoperative cognitive dysfunction; Neuropsychological tests