Cognitive Impairment, Mild
Conditions
Keywords
mild cognitive impairment
Brief summary
According to the inclusion and exclusion criteria, elderly patients undergoing elective orthopedic surgery were randomly divided into four groups. The different combinations of propofol and sevoflurane were used in the four groups: 1 day before surgery, after patients become wide-awake, and 3 days, 7 days, and 3 months after surgery, the patient's cognitive function was evaluated using a professional cognitive scale and other indicators. Finally, statistical analysis.
Interventions
Propofol is the most common clinical anesthetics.
Sevoflurane is the most common clinical anesthetics.
Sponsors
Study design
Eligibility
Inclusion criteria
* Elective orthopaedic surgery * American Society of Anesthesiologists physical status: II
Exclusion criteria
* Neurological diseases that may affect cognitive function (e.g., subdural hematoma) * Hypothyroidism * Alcoholic dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evidence of clinically cognitive function decline :Apolipoprotein J(ApoJ) | Change from Baseline Apolipoprotein J at 7 days | Measurement by ELISA kit |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evidence of clinically cognitive function decline :Soluble CD14(sCD14) | Change from Baseline Soluble CD14 at 7 days | Estimating by ELISA kit |
| Mini mental Examination(MMSE) | preoperative 24 hours , 7 days post surgery | A questionnaires is used to assess the cognitive function of patients in clinical.Total range was 0\ 30,≦27 were considered as cognitive function decline |
| Montreal Cognitive Assessment(MoCA) | preoperative 24 hours ,7 days post surgery | A questionnaires is used to assess the cognitive function of patients in clinical.Total range was 0\ 30,≦27 were considered as cognitive function decline. |
Countries
China