As a simple auxiliary tool for lower extremity orthopedic surgery, tourniquet can effectively reduce intraoperative bleeding and ensure the clarity of the operative field, effectively shorten the operation time and improve the operation efficiency. The extensive use of tourniquets in lower extremity surgery will not only cause local paralysis, pain and other complications, but also bring about postoperative complications such as large drainage volume and deep vein thrombosis. Recent studies have found that tourniquet induced ischemia-reperfusion injury not only affects the local tissue structure and function of skeletal muscle, but also causes reperfusion injury in distant organs (such as heart, lung and brain). Therefore, improving tourniquet ischemia-reperfusion injury after knee replacement is of great significance to improve the quality of life of patients during the perioperative period. Therefore, the aim of this study was to investigate the effects of dexmedetomidine and tourniquet pretreatment on myocardial injury and brain injury caused by lower extremity ischemia-reperfusion.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
120
Whether apply DEX or not
Whether apply DEX or not
Timing of tourniquet application
Timing of tourniquet application
The Third Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
RECRUITINGThe Third Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
RECRUITINGSOD
Superoxide dismutase
Time frame: Baseline to day2
MDA
Malonaldehyde
Time frame: Baseline to day2
IL-6
Interleukin- 6
Time frame: Baseline to day2
TNF-α
Tumor necrosis factor-α
Time frame: Baseline to day2
hs-Tn
High sensitive troponin
Time frame: Baseline to day2
BDNF
Brain-derived neurotrophic factor
Time frame: Baseline to day2
HRV
HeartRateVariability
Time frame: Baseline to day2
PRR
Pulse Repetition Rate
Time frame: Baseline to day2
BP
Blood Pressure(both systolic and diastolic blood pressure will be measured)
Time frame: Baseline to day2
SpO2
Peripheral capillary oxygen saturation
Time frame: Baseline to day2
VAS
Visual Analogue Scale/Score(Draw a 10cm horizontal line on the paper. One end of the horizontal line is 0, indicating no pain; the other end is 10, indicating severe pain; the middle part indicates pain. Different degrees of pain. Let the patient draw a mark on the horizontal line according to his own feelings to indicate the degree of pain.)
Time frame: Baseline to day2
MMSE
Mini-mental State Examination(The scale includes the following seven aspects: time orientation, place orientation, instant recall, attention and computational power, delayed memory, language, and whether to answer correctly or not. The test scores are closely related to the educational level. The normal threshold is more than 20 points, and the junior high school and above are more than 24 points)
Time frame: Baseline to day2
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