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Uterine Fibroids (Leiomyoma)NCT07860203

Stellate Ganglion Block and Dexmedetomidine for Postoperative Sleep in Women Undergoing Laparoscopic Gynecologic Surgery

A study testing DEX 0.2 μg/kg/h. and SGB in people with Uterine Fibroids (Leiomyoma) and Adenomyosis of Uterus, run by Catherin Zhang at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Study Objectives This study aims to investigate the effects of preoperative stellate ganglion block and intraoperative intravenous dexmedetomidine on postoperative sleep disturbance in patients undergoing laparoscopic gynecologic surgery, with the goals of reducing pain and postoperative adverse reactions and… Read more about this study

Who is it for?
Ages 18 to 75 years, women only
What is being tested?
DEX 0.2 μg/kg/h. and SGB
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
1 siteChina
Study dates
Oct 2026to Jan 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with American Society of Anesthesiologists (ASA) physical status I-III;
  • Age 18-75 years;
  • Scheduled to undergo laparoscopic gynecologic surgery (laparoscopic hysterectomy or laparoscopic surgery for uterine fibroids).

Who cannot join

  • Preoperative sore throat or hoarseness;
  • History of upper respiratory tract infection within the previous 2 weeks;
  • Anticipated difficult tracheal intubation (Mallampati class III or IV, potential facial deformity, mouth opening <3 finger breadths, etc.);
  • Severe preoperative cardiac, hepatic, renal, or other organ dysfunction;
  • Allergy to the local anesthetic used in the study, infection at the puncture site, or coagulation abnormalities;
  • Cognitive impairment, hearing impairment, language impairment, a history of psychiatric illness, or difficulty communicating or cooperating because of a psychiatric disorder.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Huai'an Second People's Hospital

    Huai'an, Jiangsu, 223001

    Recruiting

Other trials in China

About this study

Official title: Effects of Stellate Ganglion Block Combined With Dexmedetomidine on Postoperative Sleep Quality in Patients Undergoing Laparoscopic Gynecological Surgery: A Randomized Controlled 2×2 Factorial Trial

Study Objectives This study aims to investigate the effects of preoperative stellate ganglion block and intraoperative intravenous dexmedetomidine on postoperative sleep disturbance in patients undergoing laparoscopic gynecologic surgery, with the goals of reducing pain and postoperative adverse reactions and identifying an effective, safe, economical, and broadly applicable intervention strategy that may facilitate emergence from anesthesia, accelerate postoperative recovery, shorten the length of hospital stay, and reduce hospitalization costs.

This trial aims to determine whether preoperative stellate ganglion block (SGB) and intraoperative intravenous dexmedetomidine (DEX) can improve postoperative sleep quality in patients undergoing laparoscopic gynecologic surgery, and whether the combination of these two interventions provides an interaction effect or additional ben

Being tested
DEX 0.2 μg/kg/h., SGB, 0.9% Sodium Chloride (Placebo), Sham Stellate Ganglion Block
Medical subject headings
Leiomyoma, Adenomyosis, Endometriosis, Endometrial Neoplasms, Uterine Cervical Neoplasms, Ovarian Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DEX 0.2 μg/kg/h.Drug

    Dexmedetomidine is administered by intravenous infusion after induction of anesthesia without a loading dose, at an infusion rate of 0.2μg·kg-¹·h-¹, and continued until the end of surgery.

  • SGBProcedure or surgery

    Stellate ganglion block (SGB) is performed 15 min after induction of anesthesia by an anesthesiologist experienced in ultrasound-guided regional anesthesia, who is aware of the patient's group assignment. The patient is placed in the supine position with the neck slightly extended and rotated to the contralateral side. Under sterile conditions, a high-frequency linear-array ultrasound transducer is used to scan the anterior neck transversely at the C6 level, sequentially identifying the common carotid artery, internal jugular vein, thyroid gland, esophagus, C6 transverse process and anterior tubercle, longus colli muscle, and surrounding vascular structures.

    In the SGB group, an in-plane needle approach is used under real-time ultrasound guidance. After the needle tip reaches the fascial plane anterior to the longus colli muscle and negative aspiration for blood is confirmed, 5 mL of 0.375% ropivacaine is injected slowly. Spread of the local anesthetic along the surface of the longus

  • 0.9% Sodium Chloride (Placebo)Drug

    An equal volume of 0.9% sodium chloride solution is administered by intravenous infusion after induction of anesthesia as a placebo for dexmedetomidine and continued until the end of surgery.

  • Sham Stellate Ganglion BlockProcedure or surgery

    Participants are placed in the same position as those receiving the stellate ganglion block, and the ultrasound probe is placed on the neck in an identical manner to simulate the procedure. No needle puncture or drug injection is performed.

Study groups in NCT07860203
Study groupRoleWhat they receive
Stellate Ganglion Block + DexmedetomidineExperimentalStellate ganglion block + dexmedetomidine
Receives: Drug: DEX 0.2 μg/kg/h.; Procedure: SGB
Stellate Ganglion Block + PlaceboExperimentalStellate ganglion block + 0.9% sodium chloride
Receives: Procedure: SGB; Drug: 0.9% Sodium Chloride (Placebo)
Sham Stellate Ganglion Block + DexmedetomidineExperimentalSham stellate ganglion block + dexmedetomidine
Receives: Drug: DEX 0.2 μg/kg/h.; Procedure: Sham Stellate Ganglion Block
Sham Stellate Ganglion Block + PlaceboPlacebo comparatorSham stellate ganglion block + 0.9% sodium chloride
Receives: Drug: 0.9% Sodium Chloride (Placebo); Procedure: Sham Stellate Ganglion Block

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. St. Mary's Hospital Sleep Questionnaire Score 1 Day Before Surgery

    Subjective sleep quality is assessed using the St. Mary's Hospital Sleep Questionnaire (SMHSQ). The total score ranges from 11 to 37, with higher scores indicating poorer sleep quality.

    Measured: 1 day before surgery(ΡRE)

  2. Total Sleep Time 1 Day Before Surgery

    Total sleep time (TST), expressed in minutes, is objectively measured using a Fitbit Charge 6 wrist-worn device.

    Measured: 1 day before surgery(PRE)

  3. Wake After Sleep Onset 1 Day Before Surgery

    Wake after sleep onset is the total duration of wakefulness after initial sleep onset during the assessed sleep period, measured in minutes using a Fitbit Charge 6 wrist-worn device.

    Measured: 1 day before surgery(PRE)

  4. Sleep Efficiency 1 Day Before Surgery

    Sleep efficiency is calculated as total sleep time (TST) divided by the sum of total sleep time and wake after sleep onset (WASO), multiplied by 100. TST and WASO are obtained using a Fitbit Charge 6 wrist-worn device. Values range from 0% to 100%, with higher values indicating a greater proportion of the assessed sleep period spent asleep.

    Measured: 1 day before surgery(PRE)

  5. St. Mary's Hospital Sleep Questionnaire Score on Postoperative Day 1

    Subjective sleep quality is assessed using the St. Mary's Hospital Sleep Questionnaire (SMHSQ). The total score ranges from 11 to 37, with higher scores indicating poorer sleep quality.

    Measured: Postoperative Day 1(POD1)

  6. Total Sleep Time on Postoperative Day 1

    Total sleep time (TST), expressed in minutes, is objectively measured using a Fitbit Charge 6 wrist-worn device.

    Measured: Postoperative day 1

  7. Wake After Sleep Onset on Postoperative Day 1

    Wake after sleep onset is the total duration of wakefulness after initial sleep onset during the assessed sleep period, measured in minutes using a Fitbit Charge 6 wrist-worn device.

    Measured: Postoperative day 1(ΡOD1)

  8. Sleep Efficiency on Postoperative Day 1

    Sleep efficiency is calculated as total sleep time (TST) divided by the sum of total sleep time and wake after sleep onset (WASO), multiplied by 100. TST and WASO are obtained using a Fitbit Charge 6 wrist-worn device. Values range from 0% to 100%, with higher values indicating a greater proportion of the assessed sleep period spent asleep.

    Measured: Postoperative day 1(ΡOD1)

  9. St. Mary's Hospital Sleep Questionnaire Score on Postoperative Day 2

    Subjective sleep quality is assessed using the St. Mary's Hospital Sleep Questionnaire (SMHSQ). The total score ranges from 11 to 37, with higher scores indicating poorer sleep quality.

    Measured: Postoperative Day 2(ΡOD2)

  10. Total Sleep Time on Postoperative Day 2

    Total sleep time (TST), expressed in minutes, is objectively measured using a Fitbit Charge 6 wrist-worn device.

    Measured: Postoperative day 2

  11. Wake After Sleep Onset on Postoperative Day 2

    Wake after sleep onset is the total duration of wakefulness after initial sleep onset during the assessed sleep period, measured in minutes using a Fitbit Charge 6 wrist-worn device.

    Measured: Postoperative day 2(POD2)

  12. Sleep Efficiency on Postoperative Day 2

    Sleep efficiency is calculated as total sleep time (TST) divided by the sum of total sleep time and wake after sleep onset (WASO), multiplied by 100. TST and WASO are obtained using a Fitbit Charge 6 wrist-worn device. Values range from 0% to 100%, with higher values indicating a greater proportion of the assessed sleep period spent asleep.

    Measured: Postoperative day 2(POD2)

Secondary outcomes (19)
  1. Postoperative Pain Intensity at 6 Hours

    Postoperative pain intensity is assessed using the Visual Analog Scale. Scores range from 0 to 10, with 0 indicating no pain and 10 indicating the worst imaginable pain. Higher scores indicate greater pain intensity.

    Measured: 6 hours after surgery

  2. Postoperative Pain Intensity at 24 Hours

    Postoperative pain intensity is assessed using the Visual Analog Scale. Scores range from 0 to 10, with 0 indicating no pain and 10 indicating the worst imaginable pain. Higher scores indicate greater pain intensity.

    Measured: 24 hours after surgery

  3. Postoperative Pain Intensity at 48 Hours

    Postoperative pain intensity is assessed using the Visual Analog Scale. Scores range from 0 to 10, with 0 indicating no pain and 10 indicating the worst imaginable pain. Higher scores indicate greater pain intensity.

    Measured: 48 hours after surgery

  4. Total Intraoperative Sufentanil Consumption

    The cumulative dose of sufentanil administered to each participant from induction of anesthesia to the end of surgery is recorded in micrograms.

    Measured: From induction of anesthesia to the end of surgery

  5. Total Intraoperative Remifentanil Consumption

    The cumulative dose of remifentanil administered to each participant from induction of anesthesia to the end of surgery is recorded in milligrams.

    Measured: From induction of anesthesia to the end of surgery

  6. Number of Rescue Analgesia Administrations

    The total number of rescue analgesia administrations received by each participant during the first 48 hours after surgery is recorded.

    Measured: From the end of surgery to 48 hours after surgery.

  7. Mean Arterial Pressure

    Mean arterial pressure (MAP), expressed in mmHg, is recorded at five prespecified time points to assess perioperative hemodynamic changes.

    Measured: Before induction of anesthesia (T0), at skin incision (T1), 30 minutes after the start of surgery (T2), 60 minutes after the start of surgery (T3), and at the end of surgery (T4).

  8. Heart Rate

    Heart rate (HR), expressed in beats per minute, is recorded at five prespecified time points to assess perioperative hemodynamic changes.

    Measured: Before induction of anesthesia (T0), at skin incision (T1), 30 minutes after the start of surgery (T2), 60 minutes after the start of surgery (T3), and at the end of surgery (T4).

  9. Number of Participants With Local Anesthetic Systemic Toxicity

    The number of participants who experience local anesthetic systemic toxicity is recorded. Each participant is counted once, regardless of the number of episodes.

    Measured: From administration of the first study intervention to 48 hours after surgery.

  10. Number of Participants With Puncture-Site Hematoma

    The number of participants who develop a puncture-site hematoma is recorded. Each participant is counted once, regardless of the number of episodes.

    Measured: From administration of the first study intervention to 48 hours after surgery.

  11. Number of Participants With Puncture-Site Infection

    The number of participants who develop a puncture-site infection is recorded. Each participant is counted once, regardless of the number of episodes.

    Measured: From administration of the first study intervention to 48 hours after surgery.

  12. Number of Participants With Unintended Nerve Block

    The number of participants who experience an unintended nerve block is recorded. Each participant is counted once, regardless of the number of episodes.

    Measured: From administration of the first study intervention to 48 hours after surgery.

  13. Number of Participants With Pneumothorax

    The number of participants who develop pneumothorax is recorded. Each participant is counted once, regardless of the number of episodes.

    Measured: From administration of the first study intervention to 48 hours after surgery.

  14. Number of Participants With Bradycardia

    The number of participants who experience bradycardia is recorded. Each participant is counted once, regardless of the number of episodes.

    Measured: From administration of the first study intervention to 48 hours after surgery.

  15. Number of Participants With Hypotension

    The number of participants who experience hypotension is recorded. Each participant is counted once, regardless of the number of episodes.

    Measured: From administration of the first study intervention to 48 hours after surgery.

  16. Number of Participants With Hypoxemia

    The number of participants who experience hypoxemia is recorded. Each participant is counted once, regardless of the number of episodes.

    Measured: From administration of the first study intervention to 48 hours after surgery.

  17. Number of Participants With Postoperative Nausea or Vomiting

    The number of participants who experience nausea, vomiting, or both during the first 48 hours after surgery is recorded. Each participant is counted once, regardless of the number of episodes or whether both symptoms occur.

    Measured: From the end of surgery to 48 hours after surgery.

  18. Number of Participants With Postoperative Headache or Dizziness

    The number of participants who experience headache, dizziness, or both during the first 48 hours after surgery is recorded. Each participant is counted once, regardless of the number of episodes or whether both symptoms occur.

    Measured: From the end of surgery to 48 hours after surgery.

  19. Number of Participants With Postoperative Nightmares or Excessive Dreaming

    The number of participants who report nightmares, excessive dreaming, or both during the first 48 hours after surgery is recorded. Each participant is counted once, regardless of the number of episodes or whether both symptoms occur.

    Measured: From the end of surgery to 48 hours after surgery.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Oct 2026
  2. Study startOct 2026 (estimated)
  3. Primary completionDec 2026 (estimated)
  4. Study completionJan 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07860203
Sponsor's protocol ID
513
Status last verified
Sep 2026
First submitted
25 Sep 2026
Last updated
6 Oct 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Yang RZ, Li YZ, Liang M, Yu JJ, Chen ML, Qiu JJ, Lin SZ, Wu XD, Zeng K. Stellate Ganglion Block Improves Postoperative Sleep Quality and Analgesia in Patients with Breast Cancer: A Randomized Controlled Trial. Pain Ther. 2023 Apr;12(2):491-503. doi: 10.1007/s40122-022-00473-y. Epub 2023 Jan 18.

    PubMed 36652140
  • Goel V, Patwardhan AM, Ibrahim M, Howe CL, Schultz DM, Shankar H. Complications associated with stellate ganglion nerve block: a systematic review. Reg Anesth Pain Med. 2019 Apr 16:rapm-2018-100127. doi: 10.1136/rapm-2018-100127. Online ahead of print.

    PubMed 30992414
  • Lipov EG, Joshi JR, Sanders S, Wilcox K, Lipov S, Xie H, Maganini R, Slavin K. Effects of stellate-ganglion block on hot flushes and night awakenings in survivors of breast cancer: a pilot study. Lancet Oncol. 2008 Jun;9(6):523-32. doi: 10.1016/S1470-2045(08)70131-1. Epub 2008 May 15.

    PubMed 18485819
  • Kjolhede P, Langstrom P, Nilsson P, Wodlin NB, Nilsson L. The impact of quality of sleep on recovery from fast-track abdominal hysterectomy. J Clin Sleep Med. 2012 Aug 15;8(4):395-402. doi: 10.5664/jcsm.2032.

    PubMed 22893770
  • Manandhar T, Sitaula S, Thapa BD, Agrawal A, Thakur A. Prevalence of Hysterectomy among Gynecological Surgeries in a Tertiary Care Hospital. JNMA J Nepal Med Assoc. 2020 Dec 31;58(232):965-970. doi: 10.31729/jnma.5315.

    PubMed 34506386

Questions about this trial

What is this clinical trial studying?

A study testing DEX 0.2 μg/kg/h. and SGB in people with Uterine Fibroids (Leiomyoma) and Adenomyosis of Uterus, run by Catherin Zhang at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 6 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jun Wang (+86 19552153837, 1961440528@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

St. Mary's Hospital Sleep Questionnaire Score 1 Day Before Surgery (time frame: 1 day before surgery(ΡRE)). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07860203, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Oct 2026.

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