中国普通外科杂志2025，Vol.34Issue(3)：528-535,8.DOI:10.7659/j.issn.1005-6947.240615
颊针疗法联合星状神经节阻滞改善老年结肠癌术后睡眠质量的临床研究
Buccal acupuncture combined with stellate ganglion block for sleep improvement after colorectal cancer surgery in the elderly:a clinical study
摘要
Abstract
Background and Aims:Elderly patients undergoing laparoscopic radical resection of colon cancer often experience decreased sleep quality,which may hinder postoperative recovery.Although pharmacological interventions are commonly used in clinical practice to improve postoperative sleep,conventional medications may lead to adverse effects such as delirium and dependence.This study aimed to evaluate the effect of a non-pharmacological intervention—buccal acupuncture combined with ultrasound-guided stellate ganglion block(SGB)—on postoperative sleep quality in elderly patients. Methods:A total of 60 elderly patients who underwent laparoscopic radical resection of colon cancer at the Forth Hospital of Changsha from February to August 2024 were enrolled.Using a random number table,the patients were divided into two groups:30 in the control group(SGB alone)and 30 in the study group(SGB combined with buccal acupuncture).Perioperative mean arterial pressure(MAP),heart rate(HR),postoperative visual analogue scale(VAS)scores,Pittsburgh Sleep Quality Index(PSQI)scores,and the incidence of adverse events were recorded and analyzed. Results:There were no statistically significant differences in baseline characteristics between the two groups(all P>0.05).The study group showed significantly lower intraoperative and postoperative HR and MAP compared to the control group(all P<0.05).VAS scores at 6,24,and 48 h postoperatively,as well as PSQI scores on postoperative days 1,3,and 5,were significantly lower in the study group(all P<0.05).Additionally,the incidence of drowsiness was significantly reduced(P<0.05).No significant differences were found between the two groups in terms of nausea,vomiting,or agitation(all P>0.05). Conclusion:The combination of buccal acupuncture and SGB during the perioperative period can effectively improve postoperative sleep quality,alleviate pain,and reduce adverse reactions in elderly patients undergoing laparoscopic radical resection of colon cancer.This safe and effective non-pharmacological intervention holds promising clinical application value.关键词
结肠肿瘤/腹腔镜/老年人/睡眠障碍/颊针疗法/星状神经节阻滞Key words
Colonic Neoplasms/Laparoscopes/Aged/Sleep Disorders/Buccal Acupuncture Therapy/Stellate Ganglion Block分类
临床医学引用本文复制引用
张晓青,李九一,吴荻,欧阳建军,张琦玲,谭红保,员勃,赵倩,彭毅梅..颊针疗法联合星状神经节阻滞改善老年结肠癌术后睡眠质量的临床研究[J].中国普通外科杂志,2025,34(3):528-535,8.基金项目
湖南省自然科学基金资助项目(2024JJ9524) （2024JJ9524）
湖南省长沙市卫生健康委中医药科研基金资助项目(B202302). （B202302）
