Postoperative sleep in patients undergoing breast cancer surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women aged 18-65 years old; 2. Diagnosed with breast cancer; 3. Scheduled for unilateral modified radical mastectomy or breast conserving surgery (expected surgery > 1.5 h); 4. ASA grade I-II; 5. BMI 18-30 kg/m²; 6. Preoperative PSQI = 7 (no clinical sleep disorder); 7. Signed informed consent.
Exclusion criteria
Exclusion criteria: 1. Opioid abuse or allergy within 6 months before operation; 2. SAPB taboo (puncture site infection, coagulation abnormality, local anesthetic allergy); 3. Preoperative neuropsychiatric disease (e.g., depression, epilepsy) or sleep disorder (AHI = 15); 4. Severe heart, liver, and kidney dysfunction (Child-Pugh B grade or higher); 5. Cognitive impairment; 6. Intraoperative conversion to thoracotomy or postoperative admission to ICU; 7. Poor follow-up compliance.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total sleep time TST;The proportion of deep sleep N3;REM ratio of rapid eye movement sleep;Awakening times NW;Pittsburgh Sleep Quality Index ( PSQI );Athens Insomnia Scale ( AIS );The percentage of d ( 0.5 ~ 4Hz ) wave in frontal lobe, temporal lobe, central area and occipital lobe.;The percentage of ? ( 4 ~ 8Hz ) wave in frontal lobe, temporal lobe, central area and occipital lobe.;The percentage of a ( 8 ~ 13Hz ) wave in frontal lobe, temporal lobe, central area and occipital lobe.;The percentage of ß ( 13 ~ 30Hz ) wave in frontal lobe, temporal lobe, central area and occipital lobe.; | — |
Countries
China
Contacts
The Second Affiliated Hospital of Guangxi Medical University