Dynamics changes of post operational cognitive functional to the results of the test on a scout Shylte on the background of neuroprotective therapy

Abstract

The nature of postoperative cognitive changes depends on the type of anesthesia, somatic and neurological status, as well as on the patient's age. The aim of the study was to study the dynamics of changes in the state of cognitive function on the Schulte scale in patients after surgery using general anesthesia on the background of neuroprotective therapy. To achieve this goal, we conducted a study of the cognitive sphere in 126 patients with acute surgical pathology on days 1, 7, 30 after surgery compared with the preoperative period. The study was conducted on the basis of the Kharkiv City Clinical Hospital of Emergency and Emergency Medical Aid. prof. A.I. Meshchaninov. All patients underwent standard intravenous premedication. Surgery was performed under conditions of general multicomponent anesthesia with artificial ventilation of the lungs using propofol and fentanyl. Patients on the background of standard postoperative therapy added neuroprotective drug according to the scheme. In the short periods of observation, the restoration of cognitive function by the Schulte test in young patients was noted. Recovery in the postoperative period was gradual in other age groups. After a month of research, the state of cognitive function in patients according to Schulte's test significantly improved from the values before the operation in patients of groups 1 and 2, but in patients of group 3, they did not fully recover.