Postoperative cognitive dysfunction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Subjects aged >=65 years old; 2. Subjects with ASA grade I ~ III; 3. Patients who plan to undergo unilateral total hip or total knee arthroplasty under general anesthesia; 4. The subject of informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients with cardiovascular and cerebrovascular diseases (e.g., EF 2 times of the upper limit of reference value; Cr clearance rate 443 umol/L); 4. Patients with a history of mental illness or family history of mental illness; 5. Patients with severe mental or cognitive impairment or having taken drugs that affect cognitive function; 6. Patients who have participated in other related clinical studies within three months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of POCD 7 days after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS score;Serum lipidomics analysis immediately before operation, immediately after operation, 1 d and 7 d after operation;Dosage of analgesics and pain scores 1 and 2 days after operation;The number of hypotension, hypertension, bradycardia and tachycardia that require drug intervention during the operation;Postoperative hospital stay;Mortality 3 months after operation; | — |
Countries
China
Contacts
He'nan Provincial People's Hospital