{"id":12080,"date":"2026-01-03T17:38:35","date_gmt":"2026-01-03T17:38:35","guid":{"rendered":"https:\/\/csiag.eu\/?p=12080"},"modified":"2026-01-04T18:20:53","modified_gmt":"2026-01-04T18:20:53","slug":"%e8%80%81%e5%b9%b4%e7%97%b4%e5%91%86%e7%97%87","status":"publish","type":"post","link":"https:\/\/csiag.eu\/zh\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/","title":{"rendered":"POCD - \u75f4\u5446\u75c7\u548c\u963f\u5c14\u8328\u6d77\u9ed8\u6c0f\u75c7"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u76ee\u5f55<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/csiag.eu\/zh\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#POCD\" >POCD<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/csiag.eu\/zh\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#Testmethoden\" >\u6d4b\u8bd5\u65b9\u6cd5<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/csiag.eu\/zh\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#Montreal_Cognitive_Assessment_MoCA\" >\u8499\u7279\u5229\u5c14\u8ba4\u77e5\u8bc4\u4f30\uff08MoCA\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/csiag.eu\/zh\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#Six_Cognitive_Item_Test_6CIT\" >\u516d\u9879\u8ba4\u77e5\u6d4b\u9a8c\uff086CIT\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/csiag.eu\/zh\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#Cognitive_Failure_Questionnaire_CFQ\" >\u8ba4\u77e5\u5931\u8d25\u95ee\u5377 (CFQ)<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/csiag.eu\/zh\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#Einfluss_von_Narkotika_auf_postoperative_POCD\" >\u9ebb\u9189\u5242\u5bf9\u672f\u540e POCD \u7684\u5f71\u54cd<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/csiag.eu\/zh\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#Demenz_Alzheimer\" >\u75f4\u5446\u75c7\u548c\u963f\u5c14\u8328\u6d77\u9ed8\u6c0f\u75c7<\/a><\/li><\/ul><\/nav><\/div>\n<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">\u9605\u8bfb\u65f6\u95f4<\/span> <span class=\"rt-time\"> 4<\/span> <span class=\"rt-label rt-postfix\">\u5206\u949f<\/span><\/span>\n<p class=\"wp-block-paragraph\">POCD (<strong>P<\/strong>\u4e1c\u90e8<strong>o<\/strong>\u679c\u671f <strong>C<\/strong>\u6b63\u5ff5 <strong>D<\/strong>\u529f\u80fd\uff09\u3001\u75f4\u5446\u75c7\u548c\u963f\u5c14\u8328\u6d77\u9ed8\u6c0f\u75c7\u4ee5\u53ca\u76ee\u524d\u7684\u533b\u5b66\u7814\u7a76\u60c5\u51b5\u5982\u4f55\uff1f\u4e0b\u6587\u5c06\u5bf9\u6b64\u8fdb\u884c\u8be6\u7ec6\u5206\u6790\u548c\u8bf4\u660e\u3002. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5728\u53e6\u4e00\u7bc7\u6587\u7ae0\uff08\u4ecd\u5728\u64b0\u5199\u4e2d\uff09\u4e2d\uff0c\u5c06\u4ecb\u7ecd\u4f7f\u7528\u7cbe\u6cb9\u7684\u53ef\u80fd\u6027\u53ca\u5176\u5bf9\u4e0a\u8ff0\u4e34\u5e8a\u56fe\u7247\u7684\u5f71\u54cd\u3002\u6240\u6709\u9648\u8ff0\u5747\u6709\u72ec\u7acb\u79d1\u5b66\u7814\u7a76\u7684\u652f\u6301\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"POCD\"><\/span>POCD<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">POCD \u901a\u5e38\u53d1\u751f\u5728\u624b\u672f\u540e\u7684\u9ebb\u9189\u8fc7\u7a0b\u4e2d\u3002\u5404\u5e74\u9f84\u6bb5\u7684\u4eba\u90fd\u4f1a\u53d7\u5230\u5f71\u54cd\uff0c\u4f46\u4e3b\u8981\u662f 60 \u5c81\u4ee5\u4e0a\u7684\u60a3\u8005\u3002\u4e09\u4e2a\u6708\u540e\uff0c\u7ea6\u6709 10 % \u4ecd\u60a3\u6709 POCD\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6839\u636e\u4ed6\u4eec\u7684\u603b\u4f53\u5065\u5eb7\u72b6\u51b5\u3001\u5e74\u9f84\u3001\u4ee5\u524d\u7684\u75be\u75c5\u548c\u624b\u672f\u7a0b\u5ea6\u3001\u6559\u80b2\u6c34\u5e73\uff0c\u4e5f\u6839\u636e\u6240\u4f7f\u7528\u7684\u9ebb\u9189\u5242\uff0c\u8fd9\u901a\u5e38\u610f\u5473\u7740 <a href=\"http:\/\/Cognitive dysfunction 1\u20132 years after non-cardiac surgery in the elderly\" target=\"_blank\" rel=\"noreferrer noopener\">\u4e34\u65f6<\/a> \u8ba4\u77e5\u529f\u80fd\u53d7\u635f\uff08\u5982\u8bb0\u5fc6\u529b\u3001\u6ce8\u610f\u529b\u3001\u5b66\u4e60\u80fd\u529b\uff09\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u53ef\u4ee5\u901a\u8fc7\u624b\u672f\u524d\u540e\u7684\u5404\u79cd\u6d4b\u8bd5\u6765\u4f30\u8ba1\u53d1\u751f POCD \u7684\u98ce\u9669\u3002\u51b3\u5b9a\u6027\u56e0\u7d20\u59cb\u7ec8\u662f\u80fd\u5426\u83b7\u5f97\u624b\u672f\u524d\uff08\u672f\u524d\uff09\u6536\u96c6\u7684\u5bf9\u6bd4\u6570\u636e\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u636e\u7edf\u8ba1 <a href=\"http:\/\/Predictors of Cognitive Dysfunction after Major Noncardiac Surgery\" target=\"_blank\" rel=\"noreferrer noopener\">\u88ab\u5360\u9886<\/a>, \u90a3 <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>36.6 18-39 \u5c81\u4eba\u53e3\u7684 %<\/li>\n\n\n\n<li>30.4 40-59 \u5c81\u4eba\u53e3\u7684 % \u548c<\/li>\n\n\n\n<li>41.4 % \u7684\u60a3\u8005\u5e74\u9f84\u8d85\u8fc7 60 \u5c81\u3002.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u5728\u51fa\u9662\u65f6\u60a3\u6709 POCD\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u66f4\u591a <a href=\"https:\/\/www.aerzteblatt.de\/archiv\/postoperative-kognitive-dysfunktion-2960a89b-577d-4f15-9307-8e9ae082b804\" target=\"_blank\" rel=\"noreferrer noopener\">\u6587\u7ae0<\/a> 2014 \u5e74\u300a\u5fb7\u56fd\u533b\u5b66\u6742\u5fd7\u300b\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Testmethoden\"><\/span>\u6d4b\u8bd5\u65b9\u6cd5<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e8b\u5148\u7b80\u8981\u4ecb\u7ecd\u4e00\u4e0b\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6587\u5316\u827a\u672f\u4e2d\u5fc3<\/strong> \u662f <strong>\u6700\u4f73\u9a8c\u8bc1\u6d4b\u8bd5<\/strong> \u7528\u4e8e\u9ad8\u7075\u654f\u5ea6\u7684 POCD \u7b5b\u67e5<\/li>\n\n\n\n<li><strong>6CIT<\/strong> \u53ef\u7528\u4f5c <strong>\u8d85\u5feb\u7b5b\u67e5<\/strong> \u53ef\u4ee5\u4f7f\u7528\uff0c\u4f46\u9700\u8981\u57f9\u8bad<\/li>\n\n\n\n<li><strong>CFQ<\/strong> \u662f <strong>\u4e0d\u5b9c<\/strong> <strong>\u4f5c\u4e3a\u5ba2\u89c2\u8861\u91cf\u6807\u51c6<\/strong> \u800c\u4e0d\u662f\u4e3b\u89c2\u8ba4\u77e5\u62b1\u6028\u548c\u5fc3\u7406\u56f0\u6270<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e09\u79cd\u6d4b\u8bd5\u65b9\u6cd5\u7684\u6bd4\u8f83<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><strong>\u6d4b\u8bd5<\/strong><\/th><th><strong>\u6301\u7eed\u65f6\u95f4<\/strong><\/th><th><strong>\u79ef\u5206<\/strong><\/th><th><strong>\u5907\u6ce8<\/strong><\/th><th><strong>\u4f18\u52bf<\/strong><\/th><th><strong>\u5c40\u9650\u6027<\/strong><\/th><\/tr><\/thead><tbody><tr><td><strong>\u6587\u5316\u827a\u672f\u4e2d\u5fc3<\/strong><\/td><td>10 \u5206\u949f<\/td><td>0-30<\/td><td>\u6700\u4f73\u9a8c\u8bc1<\/td><td>\u7075\u654f\u5ea6\u9ad8\uff0890% \u7528\u4e8e MCI\uff09\uff0c\u53ef\u5728\u5168\u8eab\u9ebb\u9189\u548c\u533a\u57df\u9ebb\u9189\u4e0b\u68c0\u6d4b POCD<\/td><td>\u9700\u8981\u57f9\u8bad\uff0c\u6267\u884c\u65f6\u95f4\u8f83\u957f<\/td><\/tr><tr><td><strong>6CIT<\/strong><\/td><td>2 \u5206\u949f<\/td><td>0-28*<\/td><td>\u5feb\u901f\u7b5b\u67e5<\/td><td>\u901f\u5ea6\u975e\u5e38\u5feb\uff0c\u4e0e MoCA \u7684\u76f8\u5173\u6027\u5f88\u597d\uff08r=-0.86\uff09<\/td><td>\u5728\u6ca1\u6709\u57f9\u8bad\u7684\u5b9e\u9645\u73af\u5883\u4e2d\u53ef\u9760\u6027\u8f83\u4f4e<\/td><\/tr><tr><td><strong>CFQ<\/strong><\/td><td>5-10 \u5206\u949f<\/td><td>0-100<\/td><td>\u4e3b\u89c2\u6295\u8bc9<\/td><td>\u6355\u6349\u65e5\u5e38\u529f\u80fd\uff0c\u81ea\u6211\u62a5\u544a<\/td><td>\u4e0d\u4e0e\u5ba2\u89c2\u6d4b\u8bd5\u76f8\u5173\uff0c\u800c\u662f\u6d4b\u91cf\u5fc3\u7406\u538b\u529b<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<ol class=\"wp-block-list\"><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">*\u6ce8\u610f--\u5206\u6570\u8d8a\u9ad8\u8868\u793a\u8ba4\u77e5\u80fd\u529b\u8d8a\u5dee\uff01<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Montreal_Cognitive_Assessment_MoCA\"><\/span>\u8499\u7279\u5229\u5c14\u8ba4\u77e5\u8bc4\u4f30\uff08MoCA\uff09<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/Nasreddine et al. (2005): &quot;The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment&quot; - Journal of the American Geriatrics Society\" target=\"_blank\" rel=\"noreferrer noopener\">\u6d4b\u8bd5\u8bf4\u660e\u548c\u5b9e\u65bd<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u827a\u672f\u535a\u7269\u9986\u662f\u4e00\u4e2a <strong>10 \u5206\u949f\u8ba4\u77e5\u7b5b\u67e5\u5de5\u5177<\/strong> \u6700\u9ad8 <strong>30 \u5206<\/strong>.<br>\u6d4b\u8bd5\u8bc4\u4f30<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u77ed\u671f\u8bb0\u5fc6<\/li>\n\n\n\n<li>\u89c6\u89c9\u7a7a\u95f4\u6280\u80fd\uff08\u89c6\u89c9\u7a7a\u95f4\u6280\u80fd\uff09<\/li>\n\n\n\n<li>\u6267\u884c\u804c\u80fd<\/li>\n\n\n\n<li>\u6ce8\u610f\u529b\u548c\u5de5\u4f5c\u8bb0\u5fc6\uff08\u6ce8\u610f\u529b\u3001\u5de5\u4f5c\u8bb0\u5fc6\uff09<\/li>\n\n\n\n<li>\u8bed\u8a00<\/li>\n\n\n\n<li>\u5b9a\u5411<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u5185\u90e8\u4e00\u81f4\u6027<\/strong>\u539f\u59cb\u7248\u672c\u7684 Cronbach's alpha \u4e3a 0.83\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u622a\u6b62\u5206\u6570\u4e3a 26 \u5206\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>MMSE<\/strong>18% \u68c0\u6d4b MCI \u7684\u7075\u654f\u5ea6<\/li>\n\n\n\n<li><strong>\u6587\u5316\u827a\u672f\u4e2d\u5fc3<\/strong>90% \u68c0\u6d4b MCI \u7684\u7075\u654f\u5ea6<\/li>\n\n\n\n<li><strong>\u7528\u4e8e\u8f7b\u5ea6\u963f\u5c14\u8328\u6d77\u9ed8\u6c0f\u75f4\u5446\u75c7<\/strong>MMSE 78% \u7075\u654f\u5ea6\u4e0e MoCA 100% \u7684\u5bf9\u6bd4<\/li>\n\n\n\n<li><strong>\u7279\u6b8a\u6027<\/strong>MMSE 100%\uff0cMoCA 87%<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u94fe\u63a5<\/strong> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15817019\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/15817019\/<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u672f\u524d\u4e0e\u672f\u540e 24 \u5c0f\u65f6\u5168\u8eab\u9ebb\u9189\u5bf9\u6bd4<\/strong>:\n<ul class=\"wp-block-list\">\n<li>MMSE: 27.17\u00b11.93 \u2192 26.23\u00b12.77 (p=0.003)<\/li>\n\n\n\n<li>MoCA\uff1a24.32\u00b13.19 \u2192 22.87\u00b13.88\uff08P=0.000\uff09<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u810a\u9ad3\u9ebb\u9189\u7684\u672f\u524d\u4e0e\u672f\u540e 24 \u5c0f\u65f6\u5bf9\u6bd4<\/strong>:\n<ul class=\"wp-block-list\">\n<li>MMSE\uff1a\u65e0\u660e\u663e\u5dee\u5f02<\/li>\n\n\n\n<li>MoCA\uff1a24.35\u00b12.84 \u2192 23.13\u00b14.08\uff08P=0.019\uff09<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>POCD \u53d1\u75c5\u7387<\/strong>\uff1aMoCA 32.9% vs. MMSE 15.2% (p=0.018)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u8bf7\u6ce8\u610f<\/strong>MoCA\u68c0\u6d4b\u5230\u4e24\u7ec4\u9ebb\u9189\u4eba\u5458\u7684\u8ba4\u77e5\u80fd\u529b\u4e0b\u964d\uff0c\u800cMMSE\u4ec5\u68c0\u6d4b\u5230\u5168\u8eab\u9ebb\u9189\u7ec4\u7684\u8ba4\u77e5\u80fd\u529b\u4e0b\u964d\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8fdb\u4e00\u6b65\u7814\u7a76\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8580134\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u5c0f\u578b\u62e9\u671f\u624b\u672f\u540e\u8001\u5e74\u60a3\u8005 MoCA \u4e0e MMSE \u7684\u6bd4\u8f83<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8580134\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u4f7f\u7528\u5c0f\u578b\u7cbe\u795e\u72b6\u6001\u68c0\u67e5\u548c\u8499\u7279\u5229\u5c14\u8ba4\u77e5\u8bc4\u4f30\u6bd4\u8f83\u8001\u5e74\u4eba\u5c0f\u578b\u62e9\u671f\u624b\u672f\u540e\u7684\u8ba4\u77e5\u80fd\u529b\u4e0b\u964d\u60c5\u51b5<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10811182\/\" target=\"_blank\" rel=\"noreferrer noopener\">MCI \u4f5c\u4e3a\u810a\u67f1\u5916\u79d1\u624b\u672f\u4e2d POCD \u7684\u98ce\u9669\u56e0\u7d20<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8925052\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u4f7f\u7528 MoCA \u5bf9 POCD \u8fdb\u884c\u5b9a\u4e49<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8925052\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u8001\u5e74\u624b\u672f\u60a3\u8005\u672f\u540e\u8ba4\u77e5\u529f\u80fd\u969c\u788d\u4e0e\u533b\u7597\u4fdd\u5065\u5229\u7528\u7387\u589e\u52a0\u76f8\u5173\uff1a\u4e00\u9879\u6765\u81ea\u4e2d\u4e0a\u6536\u5165\u56fd\u5bb6\u7684\u524d\u77bb\u6027\u7814\u7a76<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9764502\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u672f\u524d\u73af\u5883\u4e2d\u7684\u7535\u8bdd-MoCA\uff08T-MoCA\uff09<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/Wang et al. (2022): &quot;Early Cognitive Dysfunction in Elderly Patients after Total Knee Arthroplasty: An Analysis of Risk Factors and Cognitive Functional Levels&quot; - Journal of Healthcare Engineering\" target=\"_blank\" rel=\"noreferrer noopener\">\u4e0d\u540c\u4e25\u91cd\u7a0b\u5ea6\u7684 POCD \u7684\u98ce\u9669\u56e0\u7d20<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7028034\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u4e34\u5e8a\u5b9e\u8df5\u4e2d\u7684 MoCA \u4e34\u754c\u503c<\/a><br><br><strong>\u4fc3\u8fdb\u6b63\u5e38\u8ba4\u77e5<\/strong>:<br><strong>\u226526\u5206<\/strong>95% \u7075\u654f\u5ea6<\/li>\n\n\n\n<li><strong>\u7528\u4e8e\u6392\u9664\u8f7b\u5ea6\u75f4\u5446\u75c7<\/strong>:<br><strong>\u226521\u5206<\/strong>98% \u9634\u6027\u9884\u6d4b\u503c (NPV)<\/li>\n\n\n\n<li><strong>\u7528\u4e8e\u6392\u9664 MCI<\/strong>:<br><strong>\u226526\u5206<\/strong>94% \u51c0\u73b0\u503c<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7028034\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u8499\u7279\u5229\u5c14\u8ba4\u77e5\u8bc4\u4f30\uff08MoCA\uff09\u5728\u8001\u5e74\u7cbe\u795e\u75c5\u5b66\u8ba4\u77e5\u7b5b\u67e5\u4e2d\u7684\u8bca\u65ad\u51c6\u786e\u6027\uff1a\u786e\u5b9a\u4e34\u5e8a\u5b9e\u8df5\u4e2d\u7684\u4e34\u754c\u5206\u6570\u3002\u907f\u514d\u5065\u5eb7\u5bf9\u7167\u7ec4\u9020\u6210\u7684\u8c31\u7cfb\u504f\u5dee<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Six_Cognitive_Item_Test_6CIT\"><\/span>\u516d\u9879\u8ba4\u77e5\u6d4b\u9a8c\uff086CIT\uff09<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10200246\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u6d4b\u8bd5\u8bf4\u660e\u548c\u5b9e\u65bd<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\"(\u300a\u4e16\u754c\u4eba\u6743\u5ba3\u8a00\u300b) <strong>6CIT<\/strong> \uff08\u53e6\u89c1. <strong>\u91d1\u5c71 2000 \u7248<\/strong>)\u7684\u5e73\u5747\u6267\u884c\u65f6\u95f4\u4ec5\u4e3a 2.05 \u5206\u949f\uff0c\u6700\u5927 pi \u503c\u4e3a 28\uff0c\u8bf4\u660e\u8ba4\u77e5\u80fd\u529b\u6700\u5dee\uff0c\u800c\u8f83\u4f4e\u7684\u503c\u610f\u5473\u7740\u8f83\u597d\u7684\u8ba4\u77e5\u80fd\u529b\u3002\u6d4b\u8bd5\u8bc4\u4f30<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5185\u5b58<\/li>\n\n\n\n<li>\u8bf7\u6ce8\u610f<\/li>\n\n\n\n<li>\u8bed\u8a00<\/li>\n\n\n\n<li>\u6267\u884c\u804c\u80fd<\/li>\n\n\n\n<li>\u7535\u52a8\u901f\u5ea6<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u5404\u8bca\u65ad\u7ec4\u5f97\u5206\u4e2d\u4f4d\u6570<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>SCD\uff08\u4e3b\u89c2\u8ba4\u77e5\u80fd\u529b\u4e0b\u964d\uff09<\/strong> - 2 \u5206<\/li>\n\n\n\n<li><strong>MCI\uff08\u8f7b\u5ea6\u8ba4\u77e5\u969c\u788d\uff09<\/strong> - 5 \u5206<\/li>\n\n\n\n<li><strong>\u75f4\u5446\u75c7<\/strong> - 17 \u5206<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u8fdb\u4e00\u6b65\u7814\u7a76\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10200246\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u516d\u9879\u8ba4\u77e5\u969c\u788d\u6d4b\u8bd5 (6CIT) \u4e0e\u8bb0\u5fc6\u95e8\u8bca\u4eba\u7fa4\u4e2d\u5e38\u7528\u77ed\u671f\u8ba4\u77e5\u7b5b\u67e5\u5de5\u5177\u7684\u6bd4\u8f83<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24256425\/\" target=\"_blank\" rel=\"noreferrer noopener\">6CIT \u4f5c\u4e3a\u521d\u7ea7\u4fdd\u5065\u60a3\u8005\u75f4\u5446\u75c7\u7b5b\u67e5\u6d4b\u8bd5\u7684\u9002\u7528\u6027<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32342018\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u672f\u524d\u73af\u5883\u4e2d\u7684\u4e2a\u4eba\u8ba4\u77e5\u80fd\u529b\u5feb\u901f\u7b5b\u67e5\uff1a\u56f4\u672f\u671f\u8bc4\u4f30\u548c\u8d28\u91cf\u6539\u8fdb\u5b66\u4f1a (SPAQI) \u7684\u6d4b\u8bd5\u8003\u8651\u56e0\u7d20\u548c\u5efa\u8bae<\/a><\/li>\n\n\n\n<li><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Cognitive_Failure_Questionnaire_CFQ\"><\/span>\u8ba4\u77e5\u5931\u8d25\u95ee\u5377 (CFQ)<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7126941\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u6d4b\u8bd5\u8bf4\u660e\u548c\u539f\u59cb\u5f00\u53d1<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\"(\u300a\u4e16\u754c\u4eba\u6743\u5ba3\u8a00\u300b) <strong>CFQ<\/strong> \u662f\u4e00\u4e2a <strong>\u81ea\u8ff0\u95ee\u5377<\/strong> \u901a\u8fc7 25 \u4e2a\u95ee\u9898\u6765\u8bc4\u4f30\u611f\u77e5\u3001\u8bb0\u5fc6\u548c\u8fd0\u52a8\u529f\u80fd\u65b9\u9762\u7684\u9519\u8bef\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u5c5e\u6027<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u53cd\u5e94\u91cf\u8868<\/strong>0\uff08\u201e\u4ece\u4e0d\u201c\uff09\u81f3 4\uff08\u201e\u7ecf\u5e38\uff09<\/li>\n\n\n\n<li><strong>\u603b\u5206\u8303\u56f4<\/strong>0-100\uff08\u6570\u503c\u8d8a\u9ad8\u8868\u793a\u8ba4\u77e5\u969c\u788d\u8d8a\u4e25\u91cd\uff09<\/li>\n\n\n\n<li><strong>\u7a33\u5b9a\u6027<\/strong>\u957f\u671f\u76f8\u5bf9\u7a33\u5b9a\uff08\u6027\u72b6\u6d4b\u91cf\u800c\u975e\u72b6\u6001\u6d4b\u91cf\uff09<\/li>\n\n\n\n<li><strong>\u4e0e\u5916\u90e8\u6807\u51c6\u7684\u76f8\u5173\u6027<\/strong>\u4e0e\u914d\u5076\u7684\u8bc4\u5206\u663e\u8457\u76f8\u5173<\/li>\n\n\n\n<li><strong>\u4e0e\u7cbe\u795e\u75c7\u72b6\u7684\u76f8\u5173\u6027<\/strong>\u662f\uff08MHQ - \u5fc3\u7406\u5065\u5eb7\u95ee\u5377\uff09<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u7ed3\u679c\u5305\u62ec\u56db\u4e2a\u5b50\u57df\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5185\u5b58<\/strong> 0-32\u5206<\/li>\n\n\n\n<li><strong>\u5206\u5fc3<\/strong> 0-36\u5206<\/li>\n\n\n\n<li><strong>\u5931\u8bef\uff08\u9519\u8bef\uff09<\/strong> 0-28\u5206<\/li>\n\n\n\n<li><strong>\u540d\u79f0<\/strong> 0-8\u5206<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">POCD-typical \u8303\u56f4\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5185\u5b58<\/li>\n\n\n\n<li>\u8bf7\u6ce8\u610f<\/li>\n\n\n\n<li>\u8bed\u8a00<\/li>\n\n\n\n<li>\u6267\u884c\u804c\u80fd<\/li>\n\n\n\n<li>\u7535\u52a8\u901f\u5ea6<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u8fdb\u4e00\u6b65\u7814\u7a76\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7126941\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u8ba4\u77e5\u5931\u8d25\u95ee\u5377\uff08CFQ\uff09\u53ca\u5176\u76f8\u5173\u56e0\u7d20<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5140732\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u5185\u7aa5\u955c\u9f3b\u7aa6\u624b\u672f\u53ef\u6539\u5584\u6162\u6027\u9f3b\u7aa6\u708e\u60a3\u8005\u7684\u8ba4\u77e5\u529f\u80fd\u969c\u788d<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6385821\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u51a0\u72b6\u52a8\u8109\u65c1\u8def\u79fb\u690d\u672f\u540e\u8ba4\u77e5\u529f\u80fd\u969c\u788d<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10685926\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u5fc3\u810f\u74e3\u819c\u624b\u672f\u540e\u8ba4\u77e5\u8bad\u7ec3\u5bf9\u8ba4\u77e5\u529f\u80fd\u548c\u5065\u5eb7\u76f8\u5173\u751f\u6d3b\u8d28\u91cf\u7684 12 \u4e2a\u6708\u968f\u8bbf\u6548\u679c\uff1a\u968f\u673a\u4e34\u5e8a\u8bd5\u9a8c<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10044453\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u91cd\u65b0\u5ba1\u89c6\u8ba4\u77e5\u5931\u8d25\u95ee\u5377\u7684\u56e0\u5b50\u7ed3\u6784\u548c\u7ed3\u6784\u6548\u5ea6<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10579381\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u7cbe\u795e\u75c5\u5b66\u8ba4\u77e5\u5931\u8d25\u95ee\u5377<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Einfluss_von_Narkotika_auf_postoperative_POCD\"><\/span>\u9ebb\u9189\u5242\u5bf9\u672f\u540e POCD \u7684\u5f71\u54cd<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u9759\u8109\u6ce8\u5c04 <em>\u4e19\u6cca\u915a<\/em> \u636e\u6b64 <a href=\"http:\/\/Postoperative cognitive dysfunction. Possible neuronal mechanisms and practical consequences for clinical routine\" target=\"_blank\" rel=\"noreferrer noopener\">\u7814\u7a76<\/a> \u4e0e\u4e03\u6c1f\u70f7\u5438\u5165\u9ebb\u9189\u76f8\u6bd4\uff0c\u8c35\u5984\u548c POCD \u7684\u53d1\u751f\u7387\u66f4\u4f4e\u3002\u8be5\u7814\u7a76\u7684\u4ed8\u8d39\u7248\u672c\u4ec5\u5728 <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00101-012-2024-2\" target=\"_blank\" rel=\"noreferrer noopener\">\u5168\u6587<\/a> \u4e4b\u524d\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e0e\u5f02\u4e19\u915a\uff0832.3%\uff09\u76f8\u6bd4\uff0c\u4e03\u6c1f\u919a\uff0857.1%\uff09\u7684 POCD \u53d1\u751f\u7387\u66f4\u9ad8\uff1b\u4e0e\u5f02\u4e19\u915a\uff08\u4ec5 8.8%\uff09\u76f8\u6bd4\uff0c\u4e03\u6c1f\u919a\uff0834.2%\uff09\u7684\u8c35\u5984\u53d1\u751f\u7387\u4e5f\u66f4\u9ad8\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Demenz_Alzheimer\"><\/span>\u75f4\u5446\u75c7\u548c\u963f\u5c14\u8328\u6d77\u9ed8\u6c0f\u75c7<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u867d\u7136\u75f4\u5446\u75c7\u662f\u4e00\u79cd\u7efc\u5408\u75c7\uff0c\u63cf\u8ff0\u7684\u662f\u75c7\u72b6 <a href=\"https:\/\/www.nia.nih.gov\/health\/alzheimers-and-dementia\/alzheimers-disease-fact-sheet\" target=\"_blank\" rel=\"noreferrer noopener\">\u963f\u5c14\u8328\u6d77\u9ed8\u75c5<\/a> \u662f\u5bfc\u81f4\u8fd9\u4e9b\u75c7\u72b6\u7684\u5177\u4f53\u539f\u56e0\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u75f4\u5446\u75c7\u53c8\u5206\u4e3a\uff08 \uff09\u3002<a href=\"http:\/\/Relative frequencies of Alzheimer disease, Lewy body, vascular and frontotemporal dementia, and hippocampal sclerosis in the State of Florida Brain Bank\" target=\"_blank\" rel=\"noreferrer noopener\">\u9891\u7387<\/a>):<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u963f\u5c14\u8328\u6d77\u9ed8\u75c5<\/strong> - (77%)<\/li>\n\n\n\n<li><strong>\u8def\u6613\u4f53\u75f4\u5446\u75c7\uff08LBD\uff09<\/strong> - (26%)<\/li>\n\n\n\n<li><strong>\u8840\u7ba1\u6027\u75f4\u5446\uff08VaD\uff09<\/strong> - (18%)<\/li>\n\n\n\n<li><strong>\u6d77\u9a6c\u786c\u5316\u75c7\uff08HS\uff09<\/strong> - (13%) <\/li>\n\n\n\n<li><strong>\u989d\u989e\u53f6\u75f4\u5446\u75c7\uff08FTD\uff09<\/strong> - (5%)<\/li>\n\n\n\n<li><strong>\u6df7\u5408\u578b\u75f4\u5446\u75c7<\/strong><br>\u67b8\u675e\u591a\u7cd6\u75c7\u60a3\u8005\u5e76\u53d1\u963f\u5c14\u8328\u6d77\u9ed8\u75c5 - (66%)<br>\u9000\u884c\u6027\u75f4\u5446\u60a3\u8005\u5e76\u53d1\u963f\u5c14\u8328\u6d77\u9ed8\u75c5 - (77%)<br>HS \u60a3\u8005\u5e76\u53d1\u963f\u5c14\u8328\u6d77\u9ed8\u75c5 - (66%)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u6839\u636e\u76ee\u524d\u7684\u77e5\u8bc6\uff0801.2026\uff09\uff0c\u6240\u6709\u5f62\u5f0f\u7684\u75f4\u5446\u75c7\u90fd\u88ab\u8ba4\u4e3a\u662f\u65e0\u6cd5\u6cbb\u6108\u7684\u3002\u53ea\u80fd\u5ef6\u7f13\u75c5\u60c5\u53d1\u5c55\u3002\u9664\u4e86\u5df2\u77e5\u7684\u836f\u7269 <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12131090\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u53e6\u5916 138 \u9879\u7814\u7a76<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5728\u9884\u9632\u65b9\u9762\uff0c\u9ad8\u7b49\u6559\u80b2\u3001\u4f53\u80b2\u953b\u70bc\u3001\u826f\u597d\u7684\u5e94\u5bf9\u6280\u80fd\u548c\u5f3a\u5927\u7684\u793e\u4ea4\u7f51\u7edc\u5df2\u88ab\u8bc1\u660e\u5bf9\u51cf\u5c11\u75f4\u5446\u75c7\u98ce\u9669\u56e0\u7d20\u6709\u79ef\u6781\u4f5c\u7528\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8fdb\u4e00\u6b65\u7814\u7a76\uff1a<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">... \u5c06\u7ee7\u7eed...<\/p>","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">\u9605\u8bfb\u65f6\u95f4<\/span> <span class=\"rt-time\"> 4<\/span> <span class=\"rt-label rt-postfix\">\u5206\u949f<\/span><\/span>Was sind die Unterschiede zwischen POCD (Postoperative Cognitive Dysfunction), Demenz und Alzheimer und wie ist die aktuelle, medizinische Studienlage? Dies soll nachfolgend untersucht und detailliert dargelegt werden. In einem weiteren Beitrag (noch in Bearbeitung) werden M\u00f6glichkeiten der Anwendung \u00c4therischer \u00d6le und deren Wirkung auf o.g. Krankheitsbilder aufgezeigt. Alle Aussagen werden mittels unabh\u00e4ngiger wissenschaftlicher Studien belegt.&hellip;&nbsp;<a href=\"https:\/\/csiag.eu\/zh\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/\" rel=\"bookmark\">\u9605\u8bfb\u66f4\u591a \u00bb<span class=\"screen-reader-text\">POCD - \u75f4\u5446\u75c7\u548c\u963f\u5c14\u8328\u6d77\u9ed8\u6c0f\u75c7<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-12080","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"modified_by":"Achim Goerner","_links":{"self":[{"href":"https:\/\/csiag.eu\/zh\/wp-json\/wp\/v2\/posts\/12080","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/csiag.eu\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csiag.eu\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csiag.eu\/zh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/csiag.eu\/zh\/wp-json\/wp\/v2\/comments?post=12080"}],"version-history":[{"count":0,"href":"https:\/\/csiag.eu\/zh\/wp-json\/wp\/v2\/posts\/12080\/revisions"}],"wp:attachment":[{"href":"https:\/\/csiag.eu\/zh\/wp-json\/wp\/v2\/media?parent=12080"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csiag.eu\/zh\/wp-json\/wp\/v2\/categories?post=12080"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csiag.eu\/zh\/wp-json\/wp\/v2\/tags?post=12080"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}