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| Effect of Stellate Ganglion Block on Cognitive Function in Elderly Patients Undergoing Laparoscopic Radical Gastrectomy |
| LUO Hongli, TAO Zhiguo, HAN Xue, et al |
| Chaohu Hospital Affiliated to Anhui Medical University, Anhui Hefei 238000, China |
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Abstract Objective: To analyze the effect of stellate ganglion block (SGB) on cognitive function in elderly patients undergoing laparoscopic radical gastrectomy. Methods: Sixty elderly patients undergoing laparoscopic radical gastrectomy in our hospital from July 2017 to June 2019 were randomly divided into study group and control group with 30 cases in each group. In the study group, 1% lidocaine was injected into the right 6th cervical transverse process for SGB, while in the control group, 0.9% NaCl solution was injected into the same part. The central rate, mean arterial pressure, intraoperative bleeding volume, intraoperative infusion volume and operation time of the two groups were recorded. The cognitive function of the two groups was assessed by Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) at 1 day before and 1, 3 and 7 days after the operation. Results: There was no significant difference in intraoperative bleeding volume, intraoperative infusion volume and operation time between the two groups (P>0.05). The heart rate and mean arterial pressure in the study group were more stable at different time points, while the heart rate and mean arterial pressure in the control group were significantly different at different time points (P<0.05). The scores of MMSE and MoCA in the two groups were significantly lower than those before operation (P<0.05). The scores of MMSE and MoCA in the study group were significantly higher than those in the control group (P<0.05). The incidence of cognitive impairment in the study group was 13.33% (4/30) on the first day after operation, which was significantly lower than that in the control group which was 43.33% (13/30) (P<0.05). Conclusion: SGB can improve the cognitive function of elderly patients after laparoscopic radical gastrectomy.
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2020, Vol. 26 
