国际麻醉学与复苏杂志   2020, Issue (8): 0-0
    
超声引导下星状神经节阻滞对幕上肿瘤切除术患者术后睡眠障碍的影响
黄晶晶, 孟香弟, 王涛, 陈秀侠1()
1.徐州医科大学附属医院
Effect of ultrasound-guided stellate ganglion block on postoperative sleep disorders in patients with supratentorial tumor resection
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摘要:

目的 探讨术前在超声引导下行星状神经节阻滞对幕上肿瘤切除术患者术后睡眠障碍的影响。方法 将择期行幕上肿瘤切除术的患者60例随机分为星状神经节阻滞组(S组)和对照组(C组)各30例。两组麻醉诱导及麻醉维持药物相同,S组麻醉诱导前行超声引导下右侧SGB,C组不行SGB。术前1天采用匹兹堡睡眠质量评分表(PSQI)评估患者近一月的睡眠,术后第二天采用阿森斯睡眠评估量表(AIS)对患者术后首夜睡眠进行评分;采用智能手环监测患者术后首夜深睡眠时长、睡眠总时长。结果 两组患者一般资料及术前 PSQI 评分差异均无统计学意义(均P0.05);S组患者术后首夜总睡眠时间为(282.40±86.99)min,显著高于C组的(233.03±85.39)min,差异有统计学意义(P0.05);S组患者术后易醒、总睡眠时间、总体睡眠质量和白天身体功能的影响率分别为53.3%、50.0%、46.7%、46.7%,显著低于C组的80.0%、80.0%、73.3%、76.7%,差异有统计学意义(均P0.05)。结论 幕上肿瘤切除术患者术前行星状神经节阻滞可延长术后首夜睡眠时间,提高睡眠质量。

关键词: 超声引导;星状神经节阻滞;幕上肿瘤切除术;术后睡眠障碍
Abstract:

Objective To investigate the effect of preoperative ultrasound-guided planetary ganglion block on postoperative sleep disorders in patients with supratentorial superficial intracranial tumor resection. Methods Sixty patients with supratentorial superficial intracranial tumor resection were randomly divided into stellate ganglion block group (group S, n = 30) and control group (group C, n = 30). The anesthetic induction and anesthetic maintenance drugs were the same in the two groups. Group S received ultrasound-guided right SGB before anesthesia induction, while group C could not SGB.The sleep of patients in the last month was scored by PSQI one day before operation , and the AIS was used to monitor the duration of deep sleep and the total length of sleep on the first night after operation. Results There was no significant difference in general data and preoperative PSQI scores between the two groups(all P0.05). The total sleep time on the first night after operation in group S was (282.40 ±86.99) min, which was significantly higher than that in group C (233.03 ±85.39) min(P0.05).The influence rates of postoperative awakening, total sleep time, total sleep quality and daytime body function in group S were 53.3%, 50.0%, 46.7% and 46.7%, respectively. It was significantly lower than that in the control group (80.0%, 80.0%, 73.3%, 76.7%) (all P0.05). Conclusion Preoperative planetary ganglion block can prolong the sleep time of the first night after operation, at the same time, patients can have better sleep quality.

Key words: Stellate ganglion block; Resection of supratentorial tumor; Postoperative sleep disorder