title: Evaluation of the postoperative cognitive dysfunction in elderly patients with general anesthesia.
abstract: The present study is aimed to study the neuron-specific enolase (NSE) and S100b proteins in the evaluation of postoperative cognitive dysfunction in elderly patients with general anesthesia.
  
  
  
  A total of 142 aged patients, who were treated with transurethral resection of the prostate (TURP) surgery under general anesthesia with propofol from June 2014 to December 2015, were randomly divided into two groups. The experiment group was given scopolamine butylbromide by intramuscular injection before the operation, while the control group had no preoperative intramuscular injection. The propofol was used for maintenance during the operation. The Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) scales were adopted for testing the patients on preoperative day 1, postoperative day 2 and postoperative day 9. After the surgery, there were 4 cases of postoperative cognitive dysfunction (POCD) patients in experiment group, while 21 cases of POCD patients in control group. While the 142 healthy adult volunteers, who were admitted to physical examination center of our hospital in the corresponding period, were selected as healthy controls. The expression levels of S100b and NSE of patients, as well as healthy controls, were detected by ELISA.
  
  
  
  In POCD patients, serum S100b and NSE levels were evidently higher than those of patients without POCD and healthy control group (p < 0.05). S100b and NSE levels of POCD patients in experiment group were significantly lower than those of control group (p < 0.05). Serum S100b and NSE levels are higher, the longer duration of POCD is, as the correlation coefficient rs = -0.1342, -1.6644, p < 0.05.
  
  
  
  The expression levels of S100b protein and plasma NSE in the serum of POCD patients increased, which indicated the severity of the disease. The preoperative intramuscular injection of scopolamine butylbromide has important clinical significance for the prevention of POCD.
authors.affiliation: Department of Anesthesiology, Department of General Surgery; The Affiliated Hospital of Shandong Traditional Chinese Medicine University, Jinan City, Shandong Province, China. 15553156588@163.com.
authors.forename: Y-L
authors.initials: YL
authors.lastname: Chi
authors.forename: Z-S
authors.initials: ZS
authors.lastname: Li
authors.forename: C-S
authors.initials: CS
authors.lastname: Lin
authors.forename: Q
authors.initials: Q
authors.lastname: Wang
authors.forename: Y-K
authors.initials: YK
authors.lastname: Zhou
mesh_terms: D000368:Aged; D000768:Anesthesia, General / Q000009:adverse effects*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D060825:Cognitive Dysfunction / Q000097:blood / Q000139:chemically induced*; D006801:Humans; D006842:Hydrocarbons, Brominated / Q000008:administration & dosage; D007273:Injections, Intramuscular; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D010751:Phosphopyruvate Hydratase / Q000097:blood; D011183:Postoperative Complications / Q000097:blood / Q000139:chemically induced*; D015742:Propofol / Q000008:administration & dosage; D064568:S100 Calcium Binding Protein beta Subunit / Q000097:blood; D012602:Scopolamine Derivatives / Q000008:administration & dosage; D020728:Transurethral Resection of Prostate
chemical_list: D018686:Anesthetics, Intravenous; D006842:Hydrocarbons, Brominated; D064568:S100 Calcium Binding Protein beta Subunit; C579160:S100B protein, human; D012602:Scopolamine Derivatives; D010751:Phosphopyruvate Hydratase; C047757:butyl bromide; D015742:Propofol