Postoperative Sleep Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Perimenopausal patients undergoing elective laparoscopic surgery under general anesthesia at The First Affiliated Hospital of Dalian Medical University from October 2025 to October 2026. 2. American Society of Anesthesiologists (ASA) physical status classification: Grade ?-?. 3. Age: 45-55 years old. 4. Patients who meet the criteria for entering perimenopause as judged by gynecologists: changes in menstrual cycle length, with a variation of adjacent cycle length >= 7 days, recurring within 10 menstrual cycles. 5. Voluntarily participate and sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Preoperative Pittsburgh Sleep Quality Index (PSQI) score >7. 2. Hypersensitivity to dexmedetomidine. 3. History of neurological or psychiatric diseases. 4. Long-term drug dependence, with smoking history (>10 cigarettes/day) and alcohol abuse history (alcohol intake >40g/day). 5. Preoperative liver or kidney dysfunction (ALT/AST >2 times the upper limit, eGFR 5 consecutive minutes). 10. Patients who refuse to participate in this study. Enrolled cases that meet any of the following criteria should be excluded: (1) Do not meet the inclusion criteria or meet the exclusion criteria; (2) Forced termination of the trial during surgery; (3) Failure to manage according to the specified protocol; (4) Loss to follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pittsburgh Sleep Quality Index (PSQI) scores ; | — |
Secondary
| Measure | Time frame |
|---|---|
| Sleep quality detected by Fitbit Charge 4 ; Visual Analog Scale (VAS) scores;Hamilton Anxiety Scale (HAMA) scores; analgesic use;Adverse Events; | — |
Countries
China
Contacts
The First Affiliated Hospital of Dalian Medical University