神经密集护理患者的睡眠,以及脑瘤手术后的患者
Lena Nyholm1, Maria Zetterling1, Kristin Elf2
1Department of Medical Sciences, Neurosurgery, Uppsala University, Uppsala, Sweden.
PloS one
|June 23, 2023
概括
在神经重症监护室 (NICU) 的严重脑损伤患者通常由于镇静而缺乏可识别的睡眠模式. 然而,74%接受脑瘤手术的患者表现出睡眠模式,年轻的患者表现出更多的睡眠.
科学领域:
- 神经科学是一个神经科学.
- 睡眠医学 睡眠医学
- 关键护理医学 关键护理医学
背景情况:
- 在神经重症监护室 (NICU) 的镇静可以阻碍睡眠,并改变用于识别睡眠的脑电图 (EEG) 模式.
- 了解重症患者的睡眠对于康复和管理至关重要.
研究的目的:
- 为了确定睡眠模式是否可以在NICU的沉睡,严重脑损伤患者中识别.
- 评估神经介质护理单位 (NIMCU) 脑瘤手术后患者的睡眠模式.
- 为了确定与脑瘤手术后无法睡眠相关的危险因素.
主要方法:
- 使用脑电图 (EEG) 进行了一项定量观察性研究.
- 研究了两组患者:37名重度脑损伤的新生儿重症监护室患者和98名接受计划性脑瘤手术的患者.
- 纳入NICU患者的标准包括神经外科疾病,意识改变和18岁以上的年龄.
主要成果:
- 被镇静,通风的神经重症监护室的患者没有显示出可检测的EEG睡眠模式.
- 在脑瘤手术后的74%患者中,即使经常进行唤醒测试,也发现了睡眠.
- 手术后表现出睡眠模式的患者平均年轻8年 (p = 0.03).
结论:
- 在新生儿重症监护室 (NICU) 中,严重的脑损伤会造成睡眠障碍的严重风险.
- 大多数患者在脑瘤手术后恢复睡眠.
- 需要进一步的研究来开发识别睡眠,理解其影响和管理这些患者群体睡眠障碍的方法.
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