Effect of ultrasound-guided stellate ganglion block on sleep disorders in obese women after laparoscopic cholecystectomy

LIU Huan; TAO Guo-rong; Reheman· Asimuguli; Yidiresi· Patima

doi:10.11659/jjssx.10E025035

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Effect of ultrasound-guided stellate ganglion block on sleep disorders in obese women after laparoscopic cholecystectomy

Clinical Research | 更新时间：2026-04-20

- Effect of ultrasound-guided stellate ganglion block on sleep disorders in obese women after laparoscopic cholecystectomy
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 35, Issue 4, Pages: 341-345(2026)
- 作者机构：
  
  1.新疆维吾尔自治区喀什地区第二人民医院麻醉手术中心，新疆喀什 844000
  2.上海交通大学附属瑞金医院麻醉手术中心，上海 200025
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.10E025035
  CLC： R614
- Received：14 October 2025，
  
  Published：25 April 2026
- 稿件说明：
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刘欢,陶国荣,阿斯姆古丽·热合曼等.超声引导下星状神经节阻滞对肥胖女性腹腔镜胆囊手术后睡眠障碍的影响[J].局解手术学杂志,2026,35(04):341-345.

LIU Huan,TAO Guo-rong,Reheman·Asimuguli ,et al.Effect of ultrasound-guided stellate ganglion block on sleep disorders in obese women after laparoscopic cholecystectomy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(04):341-345.
刘欢,陶国荣,阿斯姆古丽·热合曼等.超声引导下星状神经节阻滞对肥胖女性腹腔镜胆囊手术后睡眠障碍的影响[J].局解手术学杂志,2026,35(04):341-345. DOI： 10.11659/jjssx.10E025035.

LIU Huan,TAO Guo-rong,Reheman·Asimuguli ,et al.Effect of ultrasound-guided stellate ganglion block on sleep disorders in obese women after laparoscopic cholecystectomy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(04):341-345. DOI： 10.11659/jjssx.10E025035.

摘要

目的

探究超声引导下星状神经节阻滞（SGB）对肥胖女性腹腔镜胆囊手术后睡眠障碍（PSD）的影响。

方法

纳入新疆维吾尔自治区喀什地区第二人民医院2024年3月至2025年6月择期行腹腔镜胆囊切除术的女性患者98例，随机分为SGB组和对照组，每组49例。SGB组患者于麻醉诱导前30 min行超声引导下SGB+全麻；对照组患者进行全麻处理。比较2组患者术后当晚实际睡眠时间、深睡眠时间、浅睡眠时间、快速眼动时间、睡眠效率、深睡眠占比、夜间觉醒次数、清醒时间、浅睡眠占比、快速眼动占比、PSD发生率、匹兹堡睡眠质量指数（PSQI）评分、视觉模拟量表（VAS）评分、术后排气时间、术后24 h恶心呕吐发生率。

结果

与对照组相比，SGB组患者术后当晚实际睡眠时间、深睡眠时间、浅睡眠时间、快速眼动时间、睡眠效率、深睡眠占比均显著增加（

0.05），夜间觉醒次数、清醒时间、浅睡眠占比均显著减少（

0.05）；2组患者快速眼动占比比较，差异无统计学意义（

0.05）。2组患者术后1 d、2 d、7 d的PSQI评分较术前1 d均明显升高（

0.05）。与对照组比较，SGB组患者术后1 d、2 d、3 d、5 d、7 d的PSQI评分及术后1 d、2 d的PSD发生率均明显降低（

0.05）。2组患者术后不同时点活动状态下VAS评分比较，差异无统计学意义（

0.05）。SGB组患者术后排气时间短于对照组（

0.05），术后24 h恶心呕吐发生率低于对照组（

0.05）。

结论

超声引导下SGB可改善肥胖女性患者腹腔镜胆囊切除术后的睡眠质量，降低PSD及恶心呕吐发生率，促进术后胃肠功能恢复。

Abstract

Objective

To investigate the effect of ultrasound-guided stellate ganglion block （SGB） on postoperative sleep disorders （PSD） in obese women with laparoscopic cholecystectomy.

Methods

A total of 98 female patients who underwent elective laparoscopic cholecystectomy in the Second People's Hospital of Kashgar Prefecture in Xinjiang Uygur Autonomous Region from March 2024 to June 2025 were enrolled and randomly divided into the SGB group and the control group， with 49 patients in each group. Patients in the SGB group underwent ultrasound-guided SGB 30 minutes before anesthesia induction combined with general anesthesia， while patients in the control group underwent general anesthesia treatment.The actual sleep time，deep sleep time，light sleep time，rapid eye movement time，sleep efficiency， proportion of deep sleep，number of awakenings at night，awake time，proportion of light sleep，proportion of rapid eye movement on the first night after surgery，PSD incidence，pittsburgh sleep quality index （PSQI） score，visual analogue scale （VAS） score，postoperative exhaust time， and incidence of nausea and vomiting within 24 hours after surgery were compared between two groups of patients.

Results

Compared with the control group， the actual sleep time， deep sleep time， light sleep time， rapid eye movement time， sleep efficiency， and the proportion of deep sleep on the first night after surgery of patients in the SGB group were significantly increased （

0.05），the number of awakenings at night，awake time，and the proportion of light sleep were significantly decreased （

0.05）；There was no statistically significant difference in the proportion of rapid eye movement between the two groups of patients （

0.05）. The PSQI scores 1 day， 2 days， and 7 days after surgery of patients in the two groups were significantly increased compared with those 1 day before surgery （

0.05）. Compared with the control group， the PSQI scores 1 day， 2 days， 3 days， 5

days， 7 days after surgery and PSD incidence 1 day， 2 days after surgery of patients in the SGB group were significantly reduced （P

0.05）. There was no statistically significant difference in VAS scores under active condition at different time points after surgery between the two groups of patients （

0.05）. The postoperative exhaust time of patients in the SGB group was shorter than that in the control group （

0.05）， and the incidence of nausea and vomiting within 24 hours after surgery was lower than that in the control group （

0.05）.

Conclusion

Ultrasound-guided SGB can improve sleep quality， reduce the incidence of PSD and nausea and vomiting， and promote the recovery of postoperative gastrointestinal function in obese female patients after laparoscopic cholecystectomy.

关键词

Keywords

references

Luo J ， Zhang X ， Tan X ， et al . Targeting postoperative sleep disorders：current advances and emerging directions in stellate ganglion block therapy ［J］. Medicine ， 2025 ， 104 （ 29 ）： e43256 . doi： 10.1097/MD.000 0000000043256 http://dx.doi.org/10.1097/MD.0000000000043256 .

张莹萱，王艺倩，解成兰，等 . 艾司氯胺酮联合右美托咪定麻醉前处理对腹腔镜胆囊切除术治疗胆囊结石患者术后睡眠质量和情绪状态的影响［J］. 实用肝脏病杂志， 2025 ， 28 （ 2 ）： 310 - 313 . doi： 10.3969/j.issn.1672-5069.2025.02.038 http://dx.doi.org/10.3969/j.issn.1672-5069.2025.02.038 .

王静，刘三徽 . 右美托咪定联合艾司氯胺酮麻醉对腹腔镜下全子宫切除术术后感染及炎症指标的影响［J］. 中华医院感染学杂志， 2024 ， 34 （ 21 ）： 3341 - 3345 . doi： 10.11816/cn.ni.2024-231731 http://dx.doi.org/10.11816/cn.ni.2024-231731 .

Ayuse T ， Ozaki-Honda Y ， Kurata S ， et al . Study on the preventive effect of ramelteon on the onset of sleep disorder after general anesthesia in patients with autism spectrum disorder： a study protocol ［J］. Medicine ， 2020 ， 99 （ 43 ）： e22826 . doi： 10.1097/MD.0000000000022826 http://dx.doi.org/10.1097/MD.0000000000022826 .

申笑笑，孙彦妮 . 瑞马唑仑在肥胖患者腹腔镜胆囊切除术中的应用［J］. 中国现代医学杂志， 2025 ， 35 （ 17 ）： 93 - 98 . doi： 10.3969/j.issn. 1005-8982.2025.17.015 http://dx.doi.org/10.3969/j.issn.1005-8982.2025.17.015 .

Shelton KT ， Qu J ， Bilotta F ， et al . Minimizing ICU Neurological Dysfunction with Dexmedetomidine-induced Sleep （MINDDS）：protocol for a randomised，double-blind，parallel-arm，placebo-controlled trial ［J］. BMJ Open ， 2018 ， 8 （ 4 ）： e020316 . doi： 10.1136/bmjopen-2017-020316 http://dx.doi.org/10.1136/bmjopen-2017-020316 .

邢纪斌，李响，程楠，等 . 更年期综合征诊治现状及星状神经节阻滞在其中的应用［J］. 新医学， 2025 ， 56 （ 7 ）： 663 - 669 . doi： 10.12464/j.issn.0253-9802.2024-0313 http://dx.doi.org/10.12464/j.issn.0253-9802.2024-0313 .

刘闯，武勇，丁孟瑶 . 超声引导下神经阻滞治疗带状疱疹性神经痛的效果观察［J］. 影像科学与光化学， 2023 ， 41 （ 1 ）： 64 - 68 . doi： 10.7517/issn.1674-0475.221104 http://dx.doi.org/10.7517/issn.1674-0475.221104 .

Olmsted KLR ， Bartoszek M ， Mulvaney S ， et al . Effect of stellate ganglion block treatment on posttraumatic stress disorder symptoms：a randomized clinical trial ［J］. JAMA Psychiatry ， 2020 ， 77 （ 2 ）： 130 - 138 . doi： 10.1001/jamapsychiatry.2019.3474 http://dx.doi.org/10.1001/jamapsychiatry.2019.3474 .

高谦，王爱新，甘学凤，等 . 超前镇痛配合星状神经节阻滞治疗2型复杂性区域疼痛综合征效果观察［J］. 山东医药， 2018 ， 58 （ 18 ）： 91 - 92 . doi： 10.3969/j.issn.1002-266X.2018.18.029 http://dx.doi.org/10.3969/j.issn.1002-266X.2018.18.029 .

刘贤臣，唐茂芹 . 匹兹堡睡眠质量指数的信度和效度研究［J］. 中华精神科杂志， 1996 ， 29 （ 2 ）： 103 - 107 . doi： 10.1007/BF02951625 http://dx.doi.org/10.1007/BF02951625 .

严广斌 . 视觉模拟评分法［J］. 中华关节外科杂志（电子版）， 2014 ， 8 （ 2 ）： 273 .

张鸿燕，李双月 . 右美托咪啶对腹腔镜胆囊切除术后患者早期睡眠的影响［J］. 浙江医学， 2019 ， 41 （ 6 ）： 587 - 590 . doi： 10.12056/j.issn.1006-2785.2019.41.6.2018-1408 http://dx.doi.org/10.12056/j.issn.1006-2785.2019.41.6.2018-1408 .

董沛雨，王红柏，张喆，等 . 肥胖患者围手术期麻醉管理的挑战与优化策略［J］. 中国医药科学， 2025 ， 15 （ 21 ）： 55 - 60 .

李功迎，宋思佳，曹龙飞 . 精神障碍诊断与统计手册第5版解读［J］. 中华诊断学电子杂志， 2014 ， 2 （ 4 ）： 310 - 312 . doi： 10.3877/cma.j.issn.2095-655X.2014.04.017 http://dx.doi.org/10.3877/cma.j.issn.2095-655X.2014.04.017 .

Wang H ， Zhang L ， Zhang Z ， et al . Perioperative sleep disturbances and postoperative delirium in adult patients：a systematic review and meta-analysis of clinical trials ［J］. Front Psychiatry ， 2020 ， 10 （ 11 ）： 570362 . doi： 10.3389/fpsyt.2020.570362 http://dx.doi.org/10.3389/fpsyt.2020.570362 .

Allen RW ， Shaw RD ， Burney CP ， et al . Deep sleep and beeps II：sleep quality improvement project in general surgery patients ［J］. Surgery ， 2022 ， 172 （ 6 ）： 1697 - 1703 . doi ： 10.1016/j.surg.2022.09.013 http://dx.doi.org/10.1016/j.surg.2022.09.013 .

黄孝慈，陈齐，盛奎，等 . 超声引导右侧星状神经节阻滞对腹腔镜胆囊切除术患者术后内脏痛及恶心呕吐的影响［J］. 天津医药， 2023 ， 51 （ 2 ）： 186 - 190 . doi： 10.11958/20220866 http://dx.doi.org/10.11958/20220866 .

Yang F ， Du Y ， Yuan C ， et al . Effect of ultrasound-guided stellate ganglion block on cerebral oxygen metabolism and S100B protein during carotid endarterectomy ［J］. Am J Transl Res ， 2024 ， 16 （ 3 ）： 1018 - 1028 . doi： 10.62347/RXRN7802 http://dx.doi.org/10.62347/RXRN7802 .

吴洁，马艳辉，贾宾，等 . 超声引导星状神经节阻滞对老年三叉神经痛患者微血管减压术后疼痛及恶心呕吐的影响［J］. 北京医学， 2021 ， 43 （ 2 ）： 133 - 137 . doi： 10.15932/j.0253-9713.2021. 02.010 http://dx.doi.org/10.15932/j.0253-9713.2021.02.010 .

Zhu G ， Kang Z ， Chen Y ， et al . Ultrasound-guided stellate ganglion block alleviates stress responses and promotes recovery of gastrointestinal function in patients ［J］. Dig Liver Dis ， 2021 ， 53 （ 5 ）： 581 - 586 . doi： 10.1016/j.dld.2020.11.028 http://dx.doi.org/10.1016/j.dld.2020.11.028 .

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