Postoperative sleep disturbance
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged 60~85 years old, diagnosed with gastric and colorectal tumors, gender is not limited; 2. Patients undergoing endotracheal intubation laparoscopic abdominal tumor resection under general anesthesia (stomach, colon, rectum); 3. The duration of the operation < 6 hours 4. The operation is expected to end before 6 p.m.; 5.18 kg/m^2<=BMI <=30 kg/m2 (body mass index = weight (kg) / height (m^2); 6. ASA classification (American Society of Anesthesiologists classification) I-III; 7. Voluntarily participate in this study and sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Local skin infection and skin damage in the earnail area; 2. Patients who are illiterate or have severe visual or hearing impairment and are unable to communicate with physicians; 3. History of previous apnea or moderate to severe obstructive apnea syndrome; 4. Previous history of chronic insomnia or preoperative Pittsburgh Sleep Quality Index (PSQI) >=7 and/or Athens Insomnia Scale (AIS) >= 6; 5. Preoperative Mini- Mental State Examination (MMSE) score <= 23 points; 6. Patients with preoperative pain, using central analgesic drugs, opioid addiction and dependence; 7. Patients with a history of cognitive dysfunction or psychiatric disorder, or dementia or Parkinson's disease; 8. History of psychotropic drug abuse; 9. Patients with severe liver and kidney dysfunction; 10. Patients with pacemakers or patients with definite cardiac electrical conduction dysfunction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total sleep time of the night after operation(refer to the patient's sleep diary and the total sleep time recorded on the actigraphy); | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative Pittsburgh sleep quality index (PSQI) score;Postoperative Athens Insomnia Scale (AIS) score;Sleep related indicators recorded by actigraphy after surgery;Postoperative Hamilton Depression Scale (HAMD) score;Postoperative Hamilton Anxiety Scale (HAMA) score;Postoperative recovery of gastrointestinal function;Postoperative pain;Postoperative nausea and vomiting;Intraoperative anesthesia related parameters;Health economic indicators;Postoperative inflammatory index;The number of patients in each group who received benzodiazepines and other hypnotics because insomnia after aperation; | — |
Countries
China
Contacts
Beijing Friendship Hospital, Capital Medical University