麻醉睡眠平衡疗法联合星状神经节阻滞治疗慢性失眠的临床疗效OA

Objective:To explore the clinical efficacy of anesthetic sleep balance therapy combined with stellate ganglion block in the treatment of chronic insomnia.Methods:A total of 80 patients with chronic insomnia admitted to The Second People's Hospi-tal of Changde from May 2023 to October 2025 were enrolled as research subjects and divided into a control group and an observa-tion group by a random number table method,with 40 cases in each group.The control group was treated with stellate ganglion block alone,while the observation group was treated with anesthetic sleep balance therapy combined with stellate ganglion block.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality before and after the interven-tion between the two groups.The Insomnia Severity Index(ISI)was adopted to evaluate the improvement of insomnia status.The Beck Depression Inventory(BDI)and Beck Anxiety Inventory(BAI)were applied to assess the improvement of depressive and anxious emotions.The 36-item Short-Form Health Survey(SF-36)was used to compare the changes in quality of life before and after the intervention,including four dimensions:physical functioning(PF),role-physical(RP),bodily pain(BP)and general health(GH).Results:After the intervention,the scores of PSQI,ISI,BDI,and BAI in both groups decreased,and the scores in the observation group were significantly lower than those in the control group.The SF-36 scores of the two groups increased,and the scores of the observation group were significantly higher than those of the control group.The differences between the two groups were statistically significant(P＜0.05).Conclusion:For patients with chronic insomnia,anesthetic sleep balance therapy com-bined with stellate ganglion block can significantly improve sleep quality,reduce the severity of insomnia,relieve anxiety and de-pression,and enhance patients' quality of life.