评估颈动脉内膜-中膜厚度对选择性非心脏手术后认知功能障碍的影响。

IF 0.7 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Cardiovascular Journal of Africa Pub Date : 2025-06-30 DOI:10.5830/CVJA-2025-017

Kabahasanoğlu Kadir, Kararmaz Alper, Ayanoğlu Hilmi Ömer

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引用次数: 0

摘要

背景：老年人非心脏手术后认知功能障碍（POCD）日益受到关注。本研究评估颈动脉内膜-中膜厚度（cIMT）与POCD之间的关系，cIMT是亚临床动脉粥样硬化的测量指标。方法：在这项前瞻性研究中，根据cIMT将择期非心脏手术的老年患者（≥60岁）分为两组。术前和术后进行认知评估，采用最小精神状态检查、时钟绘制、数字广度、轨迹制作和Stroop测试。结果：本研究纳入36例患者，cIMT≤0.9mm与>0.9mm认知测试结果无显著差异。POCD的总发病率为2.8%。结论：增加的cIMT与POCD的高风险无关。需要更大规模的研究来证实这些发现。

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Assessment of the impact of carotid intima-media thickness on postoperative cognitive dysfunction following elective noncardiac surgery.

Background: Postoperative cognitive dysfunction (POCD) following noncardiac surgery in the elderly is a growing concern. This study evaluates the relationship between carotid intima-media thickness (cIMT), a measure of subclinical atherosclerosis, and POCD.

Methods: In this prospective study, elderly patients (≥60 years) undergoing elective noncardiac surgery were divided into two groups based on cIMT. Cognitive assessments were conducted preoperatively and postoperatively using the mini-mental state examination, clock-drawing, digit span, trail-making, and Stroop tests.

Results: The study included 36 patients, with no significant differences in cognitive test outcomes between those with cIMT ≤0.9mmand >0.9mm. The overall incidence of POCD was 2.8%.

Conclusions: Increased cIMT was not associated with a higher risk of POCD. Larger studies are necessary to confirm these findings.

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来源期刊

Cardiovascular Journal of Africa CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Cardiovascular Journal of Africa (CVJA) is an international peer-reviewed journal that keeps cardiologists up to date with advances in the diagnosis and treatment of cardiovascular disease. Topics covered include coronary disease, electrophysiology, valve disease, imaging techniques, congenital heart disease (fetal, paediatric and adult), heart failure, surgery, and basic science.