ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМП10.25789/YMJ.2024.88.22ymj-227Research ArticleНАУЧНЫЕ ОБЗОРЫSCIENTIFIC REVIEWSПослеоперационная когнитивная дисфункция: определение, классификация и факторы рискаPostoperative cognitive dysfunction: definition, classification and risk factorshttps://orcid.org/0000-0002-4159-500XТаппаховА. А.TappakhovA. A.

 Таппахов Алексей Алексеевич – к.м.н., доцент, с.н.с. 

 Якутск 

dralex89@mail.ruЛукачевскаяЯ. А.LukachevskayaYa. A.

 Лукачевская Яна Анатольевна – врач-анестезиолог-реаниматолог  

 Якутск 

lukachevskaya@list.ruМедицинский институт СВФУ им. М.К. Аммосова; Центр нейродегенеративных заболеваний ЯНЦ КМПRussian FederationРеспубликанская больница №2-ЦЭМПRussian Federation202406022025049398Copyright © Таппахов А.А., Лукачевская Я.А., 20252025Таппахов А.А., Лукачевская Я.А.Tappakhov A.A., Lukachevskaya Y.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/227

На основании обзора литературы выделены ведущие факторы риска развития послеоперационного делирия (ПОД) и собственно послеоперационной когнитивной дисфункции (ПОКД), подчеркнуты факторы, способные снизить вероятность наступления когнитивных нарушений после перенесенных операций. Обсуждаются патофизиологические механизмы, способствующие развитию ПОКД. Авторами установлено, что ПОКД и ПОД являются значимой клинической проблемой, которая требует междисциплинарные усилия и комплексный подход к диагностике, лечению и профилактике.

Based on a literature review, leading risk factors for the development of both postoperative delirium (POD) and POCD itself have been identified, and factors that can reduce the likelihood of cognitive impairment after surgery have been highlighted. The pathophysiological mechanisms contributing to the development of POCD are discussed. The authors have established that POCD and POD are significant clinical problems requiring interdisciplinary efforts and a comprehensive approach to diagnosis, treatment, and prevention.

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The authors declare that there are no conflicts of interest present.