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Role and mechanism of macrophage M2 activation in dexmedetomidine's effect on postoperative delirium in elderly patients

Role and mechanism of macrophage M2 activation in dexmedetomidine's effect on postoperative delirium in elderly patients

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500096951
Enrollment
Unknown
Registered
2025-02-10
Start date
2024-11-15
Completion date
Unknown
Last updated
2025-02-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postoperative delirium

Interventions

Dexmedetomidine group:dexmedetomidine
Control group:saline

Sponsors

The Second Affiliated Hospital of Shantou University Medical College
Lead Sponsor

Eligibility

Sex/Gender
All
Age
60 Years to No maximum

Inclusion criteria

Inclusion criteria: 1.No preoperative cognitive dysfunction was present, and patients were screened for MMSEscale scores (illiteracy >=17 points, elementary school >=20 points, and secondary school and above literacy level should be >=24 points) 1d before surgery. 2. Age>60 years, BMI in the normal range, gender is not limited 3. ASA classification I-III 4. NYHA classification I-II.

Exclusion criteria

Exclusion criteria: 1. Preoperative cognitive impairment as indicated by the MMSE scale assessment 2. Pre-operative history of psychiatric or neurological disorders. 3. Those with auditory, visual, speech, motor or other disorders. 4. Those with severe bradycardia or conduction block and other contraindications to the use of dextrometry. 5. Combined serious underlying diseases such as heart disease, lung disease, liver and kidney insufficiency. 6. People taking antidepressants or drug dependence, alcoholics 7. Anyone else who, in the opinion of the investigator, is unsuitable for participation in this clinical trial.

Design outcomes

Primary

MeasureTime frame
3-minute diagnostic confusion assessment method score;Interleukin- 6;soluble interleukin-6 receptor;

Secondary

MeasureTime frame
Numeric Rating Scale score;hypotension;bradycardia;

Countries

China

Contacts

Public ContactGaojiahong

The Second Affiliated Hospital of Shantou University Medical College

492484220@qq.com+86 133 6017 4908

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026