Research progress in cerebrospinal fluid biomarkers associated with postoperative delirium after hip fracture surgery

Mingsheng Dai, Yuan Han, He Liu, Cao Jun-li
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Abstract

Elderly patients undergoing hip fracture surgery have high risk to develop postoperative delirium (POD). At present, the pathophysiological mechanism of POD is unclear, and research on cerebrospinal fluid (CSF) biomarkers is helpful to elucidate the pathophysiological mechanism of POD. This paper reviews the literature concerning CSF biomarkers associated with POD after hip frac-ture surgery, where the CSF biomarkers were classified based on the features of POD risk markers, POD active markers and POD end products. This paper will provide evidence for investigation of the pathophysiological mechanism of POD and for prevention, diagnosis and treatment of POD. Key words: Hip fracture surgery; Postoperative delirium; Cerebrospinal fluid; Biomarker
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髋部骨折术后谵妄相关脑脊液生物标志物的研究进展
老年髋部骨折患者术后谵妄(POD)发生率高。目前,POD的病理生理机制尚不清楚,脑脊液(CSF)生物标志物的研究有助于阐明POD的病理生理机制。本文综述了与髋部骨折术后POD相关的脑脊液生物标志物的文献,根据POD危险标志物、POD活性标志物和POD终产物的特征对脑脊液生物标志物进行分类。本文将为进一步研究POD的病理生理机制,以及对POD的预防、诊断和治疗提供依据。关键词:髋部骨折手术;术后谵妄的;脑脊液;生物标志物
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