Postoperative sleep disturbances
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1: Patients scheduled for elective orthopedic surgery under general anesthesia (aged >=18 years); 2: Cardiac function class I–III (NYHA classification) ,ASA physical status class I–III; 3: Voluntary participation and signed informed consent;
Exclusion criteria
Exclusion criteria: 1: History of prior traumatic brain or spinal cord injury and surgery, history of stroke, or inability to place electrodes on the head; 2: Preoperative delirium or psychiatric disorders; 3: Patients with obstructive sleep apnea-hypopnea syndrome (OSAHS); 4: History of sleep disorder (required use of hypnotics or sedatives within the past month); 5: Patients admitted to the ICU after surgery; 6: Presence of cysts, tumors, or polyps in the respiratory tract; 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 sinoatrial node dysfunction, decompensated heart failure, severe bradycardia (heart rate < 50 bpm), second-degree or higher atrioventricular block, permanent pacemaker implantation, and recent severe cardiovascular or cerebrovascular events;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative sleep disturbances; | — |
Secondary
| Measure | Time frame |
|---|---|
| Sleep Report Analysis;PSD-related indicators within 3 days postoperatively (sleep quality, pain, anxiety, depression, cognitive function, delirium scores, postoperative analgesic consumption, and adverse reactions); | — |
Countries
China
Contacts
The First Affiliated Hospital of Xi'an Jiaotong University