Postoperative Sleep Disorders
Conditions
Interventions
Control group:NA
Dex group:Intranasal dexmedetomidine was subsequently administered before bedtime after returning to the ward.
SGB + Dex group:Following recovery from anesthesia, patients received an ultrasound-guided stellate ganglion block. Intranasal dexmedetomidine was subsequently administered before bedtime after return
Sponsors
The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University
Eligibility
Sex/Gender
All
Age
19 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Male and female patients aged 18 years or older; 2. Diagnosed with cholelithiasis and scheduled for elective laparoscopic surgery; 3. Surgical procedures including laparoscopic cholecystectomy and/or laparoscopic common bile duct exploration with stone removal; 4. Not receiving hypnotic or anxiolytic medications; 5. Willing to participate in the study and having provided written informed consent prior to surgery.
Exclusion criteria
Exclusion criteria: 1. Severe cardiac conduction system disease or significant cardiac dysfunction, such as sick sinus syndrome, sinus bradycardia with heart rate <50 beats/min, second-degree or higher atrioventricular block, or New York Heart Association (NYHA) class III or higher heart failure; 2.Severe psychiatric or neurological disorders confirmed by a psychiatrist; 3. Comorbid conditions that may compromise the safety of stellate ganglion block, including hyperthyroidism, pheochromocytoma, or large goiter (grade III or above) with tracheal compression, deviation, or stenosis; 4 .Intrahepatic bile duct stones requiring hepatic resection and/or complex biliary reconstruction; 5. History of major hepatobiliary surgery; 6. Coagulation disorders, local skin infection at the puncture site, glaucoma, or other relevant conditions; 7. Recent use of sedative-hypnotic medications or dexmedetomidine; 8. Any other condition deemed by the investigators to render the patient unsuitable for participation in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of Severe Perioperative Sleep Disturbance (NRS or AIS Score >= 6); | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative Sleep Quality;The visual analog scale (VAS);Hospital Anxiety and Depression Scale (HADS); | — |
Countries
China
Contacts
Public ContactShoulin Chen
Department of Anesthesiology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University
Outcome results
None listed