gastrointestinal tumor
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1, 65= age =85 years old, gender is not limited; 2. Preoperative MMSE score was greater than 26 points; 3. For patients who plan to undergo laparoscopic gastrointestinal tumor surgery under general anesthesia, the operation time is expected to be about 2h~4h; 4. ASA anesthesia grade I ~ III; 5. Voluntarily sign informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients with history of mental and neurological diseases and related drug use history; 2. Patients with severe organic diseases or organ dysfunction; 3. Patients with severe visual, auditory and speech disorders who cannot communicate completed the score; 4. Refusing to sign informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative delirium; | — |
Secondary
| Measure | Time frame |
|---|---|
| The general information of all patients was recorded, including age, sex, body mass index, and preoperative MMSE score;Local cerebral oxygen saturation before anesthesia induction (T0), after intubation (T1), at the beginning of surgery (T2), 10min after surgery (T3), 30min after surgery (T4), 1h (T5), at the end of surgery (T6), and at extubation (T7); Heart rate, respiratory rate, pulse oxygen saturation, systolic blood pressure, diastolic blood pressure, mean arterial pressure, arterial partial oxygen pressure (PaO2), arterial partial carbon dioxide pressure (PaCO2), etc;The time required for BIS value to recover from drug withdrawal to 90, the time from drug withdrawal to extubation, and the time from drug withdrawal to orientation recovery were recorded.;Records: operation duration, intraoperative blood loss and fluid rehydration volume; After anesthesia, nausea, vomiting, bradycardia, chills, hypotension and other adverse reactions;;RASS was used to assess patients for emergence agitation.; | — |
Countries
China
Contacts
First Affiliated Hospital of Gannan Medical College