Perioperative changes of the linguistic functions in women after gynecological laparoscopic operations under propofol or sevoflurane-based anesthesia.

IF 1.6 Q2 ANESTHESIOLOGY
Włodzimierz Płotek, Artur Bekała, Jadwiga Łuczak-Wawrzyniak, Katarzyna Dudzińska-Rapczewska, Małgorzata Gasińska-Błotniak, Marcin Cybulski, Agnieszka Kubik-Komar, Elżbieta Kubera, Maciej Wilczak, Wojciech Dąbrowski
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Abstract

Introduction: Perioperative stress and exposure to anesthetics may trigger alterations in cognition. In this study, a group of women underwent neuropsychological evaluation to measure the influence of inhalational and intravenous anesthesia on linguistic performance, in the context of the perioperative inflammatory response and duration.

Material and methods: Patients undergoing elective gynecological laparoscopic operations were randomly assigned to receive either propofol-based anesthesia (PBA) or sevoflurane-based anesthesia (SBA). The Vocabulary subtest of the Polish version of the Wechsler Adult Intelligence Scale-Revised, Łatysz test [ŁT, subtests: correct words (CW) and all words (AW)], and Word Fluency Test [WFT subtest letters: F, A, S, and categories: animals (An), fruits (Fr), vegetables (Ve)] were applied before and 24 h after anesthesia. Leukocyte count and smear as well as C-reactive protein were analyzed in the same time period. Duration of anesthesia was recorded.

Results: Sixty-one patients were included in the study (PBA: 29, SBA: 32). The comparison of the pre- and postoperative difference in results between the PBA and SBA groups showed a significant difference in one test (WFT-A). A postoperative increase in the results occurred in more scales in the SBA group (ŁT-CW, ŁT-AW, WFT-A, and WFT-Ve) than in the PBA group (ŁT-AW). There were single correlations between the inflammatory markers and the results of linguistic tests. The duration of anesthesia did not influence the results of linguistic tests.

Conclusions: The linguistic performance in the perioperative period was stable, with increases noted in several of the tested domains, predominantly in the SBA group.

异丙酚或七氟醚麻醉下妇科腹腔镜手术后女性围手术期语言功能的变化。
围手术期应激和麻醉药暴露可能引发认知改变。在这项研究中,一组女性接受了神经心理学评估,以测量吸入和静脉麻醉对围手术期炎症反应和持续时间的语言表现的影响。材料和方法:选择接受选择性妇科腹腔镜手术的患者,随机分配接受异丙酚麻醉(PBA)或七氟醚麻醉(SBA)。在麻醉前和麻醉后24 h分别进行波兰语版韦氏成人智力量表(修订版)词汇子测试Łatysz测试[ŁT,子测试:正确单词(CW)和所有单词(AW)]和单词流畅性测试[WFT子测试字母:F、A、S和类别:动物(An)、水果(Fr)、蔬菜(Ve)]。同时分析白细胞计数、涂片及c反应蛋白。记录麻醉时间。结果:61例患者纳入研究(PBA: 29例,SBA: 32例)。比较PBA组和SBA组术前和术后结果的差异,有一项测试(WFT-A)有显著差异。术后SBA组(ŁT-CW, ŁT-AW, WFT-A和WFT-Ve)比PBA组(ŁT-AW)的评分增加。炎症标记物与语言测试结果之间存在单一相关性。麻醉时间对语言测试结果没有影响。结论:围手术期的语言表现是稳定的,在几个测试领域有明显的提高,主要是在SBA组。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.00
自引率
5.90%
发文量
48
审稿时长
25 weeks
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