左心室辅助装置患者的夜间睡眠和白天嗜睡模式
Umar A Siddiqi1, Aashka Patel2, Yena Jang2
1Section of Cardiac Surgery, University of Chicago Medicine, Chicago, IL, USA. t.sur.usiddiqi@surgery.bsd.uchicago.edu.
概括
左心室辅助器 (LVAD) 患者在植入后表现出改善的睡眠质量和白天功能. 然而,白天嗜睡的改善并不一定表明LVAD接受者的睡眠质量良好.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 医疗器械 医疗器械
背景情况:
- 睡眠障碍在心力衰竭患者中很常见.
- 有限的数据存在于睡眠和白天功能在左心室辅助器件 (LVAD) 接受者.
研究的目的:
- 为了检查LVAD患者的夜间和白天睡眠模式.
- 评估从植入前到植入后6个月的睡眠和白天功能变化.
主要方法:
- 研究了32名LVAD患者.
- 手腕动图和自我报告问卷测量了客观和主观睡眠.
- 在植入前和后评估了睡眠变量 (SE,SL,TST,WASO,SF) 和午睡时间.
主要成果:
- 植入前:睡眠质量差,由增加的SF,WASO和减少的TST,SE表明.
- 植入后 (3 & 6个月):改善了TST,SE,午睡时间和SSQS得分.
- 植入后:增加的SSS得分表明白天功能有所改善,尽管可能存在持续的睡眠碎片化.
结论:
- 植入LVAD与改善睡眠质量和白天功能有关.
- 在LVAD患者中改善的白天嗜睡不等于最佳的睡眠质量.
- 需要进行进一步的研究,以了解LVAD患者的睡眠和生活质量之间的机制.
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