围手术期认知训练的术后效果：系统回顾和荟萃分析。

IF 2.9 3区医学 Q1 ANESTHESIOLOGY

Minerva anestesiologica Pub Date : 2025-06-05 DOI:10.23736/S0375-9393.25.18837-8

Rong-Rong Tang, Ya-Nan Lu, Si-Si Chen, Xue-Juan Zhang, Zhao-Rong Lu

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引用次数: 0

摘要

目前尚不清楚外科医生是否真的能从认知训练中获益。本荟萃分析是为了评估认知训练在这一人群中的效果。证据获取：在PubMed (Medline)， Web of Science和Cochrane数据库四个数据库中进行文献检索，从成立到2024年9月，检索与外科人员认知训练相关的主题。证据综合：最终纳入了18项研究。与对照组相比，认知训练组术后谵妄发生率显著降低(RR: 0.72；95% CI: 0.55, 0.94)和术后认知功能障碍(RR: 0.72；95% ci: 0.54, 0.95)。焦虑有所改善(SMD: -1.87；95% CI: -3.40, -0.35)，抑郁(SMD: -1.17；95% CI: -2.00, -0.34)和生活质量(SMD: 0.78；95% ci: 0.22, 1.34)。但认知功能评分差异无统计学意义(SMD: 0.65；95% CI: -0.97, 2.28)，记忆评分(SMD: 1.09；95% ci: -0.11, 2.29)。结论：认知训练对手术患者术后谵妄、术后认知功能障碍、焦虑、抑郁和生活质量有积极影响。认知训练的应用应扩大到围手术期患者。

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Postoperative outcomes of perioperative cognitive training: a systematic review and meta-analysis.

Introduction: It remains unclear whether surgical persons can really benefit from cognitive training. This meta-analysis was performed to assess the efficacy of cognitive training in this population.

Evidence acquisition: A literature search was performed in four databases: PubMed (Medline), Web of Science and Cochrane database, from inception to September 2024, on topics related to cognitive training in surgical persons.

Evidence synthesis: Eighteen studies were eventually included. compared to the control group, cognitive training group significantly reduced the incidence of postoperative delirium (RR: 0.72; 95% CI: 0.55, 0.94) and postoperative cognitive dysfunction (RR: 0.72; 95% CI: 0.54, 0.95). There was improvement of anxiety (SMD: -1.87; 95% CI: -3.40, -0.35), depression (SMD: -1.17; 95% CI: -2.00, -0.34), and quality of life (SMD: 0.78; 95% CI: 0.22, 1.34). However, there was no statistical significance in cognitive function scores (SMD: 0.65; 95% CI: -0.97, 2.28), memory scores (SMD: 1.09; 95% CI: -0.11, 2.29).

Conclusions: Cognitive training had a positive impact on postoperative delirium, postoperative cognitive dysfunction, anxiety, depression, and quality of life among surgical patients. The application of cognitive training should be expanded to perioperative patients.

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来源期刊

Minerva anestesiologica 医学-麻醉学

CiteScore

4.50

自引率

21.90%

发文量

367

审稿时长

4-8 weeks

期刊介绍： Minerva Anestesiologica is the journal of the Italian National Society of Anaesthesia, Analgesia, Resuscitation, and Intensive Care. Minerva Anestesiologica publishes scientific papers on Anesthesiology, Intensive care, Analgesia, Perioperative Medicine and related fields. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors.