血脑屏障损伤在术后谵妄发病机制中的研究进展

Huijie Zhu, Yue Liu, Zhengliang Ma
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引用次数: 0

摘要

术后谵妄(POD)是一种以术后注意力缺陷和认知功能障碍为特征的急性神经精神综合征,常见于老年患者。众所周知,衰老、手术麻醉和睡眠障碍与POD的发生有关,其机制之一可能是血脑屏障(BBB)损伤。综述了近年来血脑屏障损伤在POD发生发展中的作用,并对与POD相关的血脑屏障损害标志物的检测进行了探讨,为POD的临床诊断、预防和治疗提供了新的思路。关键词:术后谵妄;血脑屏障;发病机制
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Research progress on blood-brain barrier damage in the pathogenesis of postoperative delirium
Postoperative delirium (POD) is an acute neuropsychiatric syndrome characterized by attention deficit and cognitive dysfunction after surgery, and commonly seen in elderly patients. It is known that aging, surgical anesthesia and sleep disorders are related to the occurrence of POD, and one of the mechanisms may be blood-brain-barrier (BBB) damage. This paper summarized the role of BBB damage in the occurrence and development of POD in the recent years, and discusses the detection of BBB damage markers related to POD, so as to provide new ideas for clinical diagnosis, prevention and treatment of POD. Key words: Postoperative delirium; Blood brain barrier; Pathogenesis
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