perioperative neurocognitive disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who plan to receive gastrointestinal tumor surgery under endotracheal intubation and general anesthesia; 2. ASA grade ?~?, surgery grade 3~4; 3. Aged 65-85 years; 4. Volunteer to participate in research projects.
Exclusion criteria
Exclusion criteria: 1. Patients with central nervous system or mental diseases; 2. Patients with cognitive dysfunction before surgery; 3. Patients whose operation time is expected to exceed 2.5 hours; 4. Long-term preoperative use of sedatives, antidepressants, NSAIDs (non-steroidal anti-inflammatory drugs) and hormones; 5. Alcoholics and drug addicts; 6. Severe disorder of internal environment and insufficiency of heart, lung, liver and kidney function; 7. Severe visual or hearing impairment or inability to communicate; 8. Those who have systematically received nootropics from Chinese and Western medicine in the past two weeks; 9. Patients who participated in other clinical trials 3 months before study inclusion; 10. Patients with known drug or liquid allergy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of perioperative cognitive dysfunction (cognitive function score); | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of hypotension during anesthesia induction;Intraoperative cerebral oxygen saturation;Intraoperative vital signs;Vascular drug dosage in operation center;Intraoperative hemodynamics;Intraoperative lactic acid value;Postoperative stay in ICU and total postoperative hospitalization; | — |
Countries
China
Contacts
Guangdong Provincial Hospital of Chinese Medicine(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine)