收稿日期: 2024-09-23
网络出版日期: 2025-04-02
基金资助
浙江大学“双一流”建设专项优势特色学科项目(HL202401)
Research progress on influencing factors and prevention strategy of cognitive decline in patients undergoing transcatheter aortic valve replacement
主动脉瓣狭窄（aortic stenosis，AS）是老年患者中最常见的心脏瓣膜疾病之一。经导管主动脉瓣置换术（transcatheter aortic valve replacement，TAVR）已成为治疗重度AS的主要手段。随着TAVR适用人群不断扩大，术后认知功能变化引起了广泛关注。该文综述了TAVR术前患者认知功能状态、术后认知功能变化及其相关影响因素，并提出认知功能下降的预防策略。以期为临床护士观察TAVR患者的认知功能提供依据，但统一的标准化评估体系还需进一步建立和完善。
关键词： 主动脉瓣狭窄; 经导管主动脉瓣置换术; 认知功能; 预防策略; 综述
朱娅迪 , 宋剑平 . 经导管主动脉瓣置换术患者认知功能下降的影响因素及预防策略研究进展[J]. 中华急危重症护理杂志, 2025 , 6(4) : 494 -498 . DOI: 10.3761/j.issn.2096-7446.2025.04.020
Aortic valve stenosis is a common valvular heart disease in the elderly. Transcatheter aortic valve replacement（TAVR） is the primary treatment for severe cases. As TAVR use extends to a wider patient population，growing attention has focused on post-procedural cognitive function changes. This article reviews the preoperative cognitive function status of TAVR patients，postoperative cognitive changes，related influencing factors，and preventive strategies for cognitive decline. The aim is to provide clinical nurses with a reliable basis for observing the cognitive function of TAVR patients；however，a unified and standardized assessment system still needs to be further developed and refined.
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