超聲引導星狀神經節(jié)阻滯聯(lián)合吳茱萸穴位貼對老年患者術后睡眠質量的影響

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Effect of Ultrasound-Guided Stellate Ganglion Block Combined with Evodia Rutaecarpa Acupoint Application on Postoperative Sleep Quality in Elderly Patients

WANG Ligong，ZHENG Min，ZHANG Jiqing

（Department of Anesthesiology，Lanzhou Second People's Hospital，Lanzhou 73oO46，China）

AbstractObjective：Toivestigatetheefectofultrasound-guidedstellteganglionblock（U-SGB）combinedwithEvodiarutaecarpa acupoint aplicationonpostoperative sleepqualityin elderlypatients.Methods：Atotalof 86 elderlypatientsundergong laparoscopic surgeryatLanzhou Second People's Hospital between August2023and August2O24 wereselected andrandomly dividedintoacontrolgroupandanobservationgroup，with43patients ineach group.Thecontrolgroupreceivedcombined intravenous-inhalation generalanesthesia duringsurgery.Theobservation groupreceivedthesameanesthesia protocolplus U-SGBbefore anesthesiaandEvodiarutaecarpaacupointapplication15minutesbeforesurgery.Perioperativeserumbiomarkers[interleukin-6 （IL-6），5-hydroxytryptamine（5-HT），corticotropin-releasing hrmone（CRH）]，sleepquality[PisburghSleepQualityIndex （PSQI）]，andcomplications werecomparedbetweenthetwo groups.Results：At24hourspostoperatively，IL-6and5-Hlevels weresignificantlyincreased，and CRHlevels decreased inboth groupscompared with preoperativelevels.Theobservationgroup had significantly higher 5-HT levels and lower IL-6 and CRH levels than the control group（ P<0.05）. The PSQI sub-scores for sleep disturbance，sleep latency，and sleepduration werelower inboth groups at24hours postoperativelycompared tobaseline， with the observation group scoring significantly better than the control group（ P<0.05 ）.The total incidence of complications （nauseaandvomiting，cognitivedfunctionaythiaryhema，etc.）wasalsosignificantlylowerinthebservationgoupan in the control group（ P<0.05 ）.Conclusion： Compared with conventional combined intravenous-inhalation anesthesia，the additionf U-SGBandEvodiarutaecarpaacupointapplicationinelderlypatientsundergoing laparoscopic surgeryefectivelyimproves postoperative sleep quality，stabilizes serum biomarkers，and demonstrates better safety.

KeywordsElderly；Sleepquality；Ultrasound-guided stellateganglion block；Evodia rutaecarpa acupoint application 中圖分類號：R614.4 文獻標識碼：A doi：10.3969/j.issn.2095-7130.2025.02.029

術后睡眠障礙是指患者在手術后出現睡眠質量降低和睡眠結構改變，其中老年患者由于年齡增長、合并心血管疾病等因素，睡眠時間本身較年輕人縮短，術后睡眠障礙發(fā)生率更高[1-2]。（剩余5272字）