EP.54 手術成功但腦袋跟不上？《Spine》揭密術前認知障礙 CD 導致再手術率翻倍與脊椎融合術成本激增 4 萬美元的臨床代價

📄 本集選讀論文
文章標題: Does cognition status affect spinal surgery outcomes: a systematic review and meta-analysis

原文出處：
The Spine Journal, 26 (2026) 29-48. doi:10.1016/j.spinee.2025.07.020

原文連結:
https://doi.org/10.1016/j.spinee.2025.07.020

💡 快速摘要
* **併發症風險顯著升高**：術前具認知功能障礙（CD）者，術後泌尿道感染與肺炎風險分別增加 4.32 倍及 3.24 倍，腰椎再手術率達常人 2.69 倍。
* **預後滿意度受限**：受腦脊椎軸（Brain-Spine axis）影響，認知障礙患者術後一年的疼痛改善機率不及一般人的一半，醫療中位支出亦大幅增加約 40%。
* **術前篩檢與精準照護**：建議術前納入 MMSE/MoCA 認知測試，並針對高風險群採取早期下床、加強口腔衛生及精簡導尿管使用等專門照護策略。

歡迎收聽：陪你走健康路一段。

我是神外 614，

這是個讓你方便用耳朵聽取神經肌肉與手術相關的論文選讀。

如果您對內容有興趣的話，也可以在上方節目欄裏找到本集內容的原始文章連結！

Transcript

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