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术后认知功能障碍的中医理论及临床应用研究进展

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术后认知功能障碍(POCD)是围术期发病率较高的并发症之一,日益威胁着患者的脑健康以及快速康复进程,其具体发病机制尚未明确,因此缺少确切有效的预防治疗手段.中医对于认知功能疾病的理论研究,为POCD的综合防治提供了着力点,其临床实践以"神"为要点,术前养神,术后调神,心、肝、肾多脏腑共同调控,展现出了良好的效果.在中医理论指导下的临床实践极大地丰富了POCD的防治手段,并开拓了广阔的治疗前景.本文对近年来有关POCD的中医理论研究与临床防治方法作一综述,以期为POCD的预防与治疗探索更多、更有效的新思路及新方法.
Research progress and clinical application of traditional chinese medicine theory on postoperative cognitive dysfunction
Postoperative cognitive dysfunction(POCD)is a common complication in the periopera-tive period,posing a significant threat to patients'brain health and rapid recovery.However,the specific pathogenesis remains unclear,resulting in a lack of effective prevention and treatment methods.The theoret-ical research on cognitive function diseases in traditional Chinese medicine provides valuable insights for comprehensive POCD prevention and treatment.In clinical practice,emphasis is placed on nurturing the"spirit"before surgery and regulating it afterwards while also harmonizing the heart,liver,kidney,and oth-er organs.This approach has shown promising results.Guided by traditional Chinese medicine theory,clini-cal practice has significantly enriched our understanding of POCD prevention and treatment methods while opening up new avenues for future treatments.This article reviews recent advances in theoretical research and clinical practices of traditional Chinese medicine regarding POCD with the aim of exploring more effec-tive ideas and approaches for its prevention and treatment.

Postoperative cognitive dysfunctionTheory of traditional Chinese medicineDysfunction of inherent spiritNourish spiritSpirit regulation

张瑶、季加富、张维亮、苏帆

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250014 济南市,山东中医药大学第一临床医学院

山东中医药大学附属医院麻醉科

术后认知功能障碍 中医理论 神机失用 养神 调神

山东省自然科学基金山东省自然科学基金山东省中医药科技项目济南市科技创新发展计划济南市"新高校20条"科研带头人工作室项目

ZR2020MH391ZR2021MH168M-2023280202134068202228124

2024

10.12089/jca.2024.08.015

临床麻醉学杂志
中华医学会南京分会

临床麻醉学杂志

CSTPCD北大核心
影响因子：2.225
ISSN：1004-5805
年,卷(期)：2024.40(8)
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