实用医学杂志2026，Vol.42Issue(9)：1511-1516,6.DOI:10.3969/j.issn.1006-5725.2026.09.004
星状神经节区光生物调节对乳腺癌患者术后睡眠及疼痛的干预效果
Effects of photobiomodulation on the stellate ganglion region on postoperative sleep quality and pain in breast cancer patients
摘要
Abstract
Objective To investigate the effects of photobiomodulation on the stellate ganglion region in patients undergoing breast cancer surgery,specifically on their postoperative sleep disturbance and pain.Meth-ods A total of 1 14 patients who were scheduled to undergo modified radical mastectomy for breast cancer under general anesthesia at Baoding First Central Hospital from June 2024 to December 2024 were selected.The partici-pants were aged between 18 and 65 years,with an ASA physical status of Ⅰ-Ⅲ and a body-mass index ranging from 18-30 kg/m2.By using a random number table,the patients were randomly allocated into either the control group(Group C)or the intervention group(Group T).Patients in Group C did not receive any intervention,whereas those in Group T underwent linearly polarized light irradiation over the stellate ganglion region after gen-eral anesthesia.The irradiation parameters were set as follows:A power setting of 80％,an irradiation/intermittent cycle of 2 seconds/4 seconds,and a total duration of 40 minutes.Data were recorded for both groups on the day be-fore surgery(D0),postoperative day 2(D2),and postoperative day 5(D5),including the Pittsburgh Sleep Qual-ity Index(PSQI)score,total sleep time(TST),sleep efficiency(SE),and the number of nocturnal awakenings(NA).Additionally,the Visual Analog Scale(VAS)scores on D2,the number of effective patient-controlled anal-gesia(PC A)presses within 48 hours after surgery,the incidence of postoperative adverse events,and patient sat-isfaction were compared between the two groups.Results Patients in the T group showed significantly lower PSQI scores and a lower incidence of post-operative sleep disorder(PSD)on the D2 and D5 compared to those in Group C(P＜0.001).In comparison with Group C,the T group had significantly longer TST and higher SE on D2 and D5(P＜0.001),as well as a significantly reduced NA(P＜0.001).When compared to Group C,the T group pre-sented a significantly lower VAS score and a notable reduction in the total number of PC A compressions on D2(all P＜0.001).Moreover,the incidence of nausea and vomiting was significantly lower in the T group than in Group C(P＜0.001),whereas patient satisfaction scores were significantly higher(P＜0.001).Conclusion Photobio-modulation applied to the stellate ganglion region can reduce the incidence of PSD,improve sleep quality,allevi-ate pain,and enhance patient satisfaction in breast cancer patients,while maintaining a favorable safety profile.关键词
星状神经节/线偏振光/光生物调节/术后睡眠障碍/乳腺癌Key words
stellate ganglion/linearly polarized light irradiation/photobiomodulation/postoperative sleep disorders/breast cancer分类
医药卫生引用本文复制引用
刘伟明,张末,郄晓娟,王曼,王泽广,袁栋欣,孙菲,邵娟,张秀宁,霍修林,于沛霞..星状神经节区光生物调节对乳腺癌患者术后睡眠及疼痛的干预效果[J].实用医学杂志,2026,42(9):1511-1516,6.基金项目
河北省政府资助临床医学优秀人才培养项目(编号:ZF2025161) （编号:ZF2025161）
中央引导地方科技发展资金项目(自由探索类基础研究)(编号:246Z7742G) （自由探索类基础研究）
第二师铁门关市财政科技计划项目(编号:2025GG3104) （编号:2025GG3104）
中央引导地方科技发展资金项目(区域科技创新体系项目)(编号:246Z7702G) （区域科技创新体系项目）
