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OA

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.