postoperative sleep disturbances
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients aged =18 years scheduled for non-cardiac surgery under elective general anesthesia; 2.Diagnosis of hypertension: Blood pressure measured once daily for the first three days after admission, with all three readings =140/90 mmHg; or a prior diagnosis of hypertension with current antihypertensive medication use—even if blood pressure does not meet the above threshold; 3.NYHA Class I–III cardiac function; ASA Class I–III; 4.Voluntary participation and signed informed consent;
Exclusion criteria
Exclusion criteria: 1.History of prior cranial or spinal cord trauma and surgery, history of stroke, or inability to place electrodes on the head; 2.Patients with preoperative delirium or psychiatric disorders; 3.Patients with obstructive sleep apnea–hypopnea syndrome (OSAHS); 4.History of sleep disorder (use of hypnotics or sedatives within the past month); 5.tients admitted to the ICU after surgery; 6.The presence of cysts, tumors, or polyps in the respiratory tract, with a history of upper respiratory tract infection within the past two weeks; 7.Severe hepatic and renal insufficiency (Child-Pugh class B or C; CKD stages 3–5); 8.Preoperative conditions include sick sinus syndrome, decompensated heart failure, severe bradycardia (heart rate < 50 beats per minute), second-degree or higher atrioventricular block, permanent pacemaker implantation, and recent severe cardiovascular or cerebrovascular events; 9.Patients unable to complete the assessment as required by the scale cannot use the patient-controlled intravenous analgesia pump; 10.Individuals who have participated in other clinical trials;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative sleep disturbances; | — |
Secondary
| Measure | Time frame |
|---|---|
| Ambulatory Blood Pressure Monitoring Results;Sleep Report Analysis;PSD-related indicators within 3 days postoperatively (sleep quality, pain, anxiety, depression, cognitive function, and delirium scores; postoperative analgesic consumption; and adverse reactions); | — |
Countries
China
Contacts
The First Affiliated Hospital of Xi'an Jiaotong University