Послеоперационная когнитивная дисфункция

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Когнитивные нарушения или делирий возникают после хирургических вмешательств примерно у 40% больных пожилого возраста. Увеличение доли лиц пожилого и старческого возраста привело к значительному росту числа случаев послеоперационной когнитивной дисфункции (ПОКД). Это одна из наиболее актуальных медико-социальных проблем, анализ которой особенно труден, поскольку требует координации большого числа специальностей: анестезиологии, хирургии, неврологии, психиатрии, нейропсихологии, а также многочисленных фундаментальных нейронаук. Таким образом, во главу решения данной проблемы должен быть положен системный мультидисциплинарный подход, учитывающий все возможные факторы, способные повлиять на состояние больных. В обзорной статье рассматриваются основные аспекты патогенеза, профилактики и лечения ПОКД.

Ключевые слова:

послеоперационная когнитивная дисфункция

делирий

деменция

церебролизин

Авторы:

Ляшенко Е.А.

ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России

Иванова Л.Г.

ФГАОУ ВО «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Минздрава России

Чимагомедова А.Ш.

ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России

Даты поступления:

02.08.2020

Даты принятия в печать:

08.09.2020

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