相关实验视频
Updated: Jul 16, 2025

07:40
Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
7.7K
通过匹配的病例控制研究,确定同时使用多种催眠药作为住院患者倒的危险因素
Chihiro Morishita1, Yu Tamada1,2,3, Akiyoshi Shimura1
1Department of Psychiatry, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.
PloS one
|September 19, 2023
概括
同时使用两种催眠药可显著增加住院患者跌倒的风险. 然而,单次催眠使用并没有显示出与跌倒有显著的关联.
科学领域:
- 老年学是一门学科.
- 临床药房 临床药房
- 患者安全 患者安全
背景情况:
- 同时使用多种催眠药在住院患者中很常见.
- 同时使用催眠药和跌倒风险之间的关联仍然不清楚.
研究的目的:
- 调查两种催眠药同时使用与住院患者中跌倒的发生之间的关联.
主要方法:
- 通过使用医院医疗记录进行了一项匹配的病例控制研究.
- 434名摔倒的患者 (病例) 与434名没有摔倒的患者 (对照组) 根据年龄,性别和部门进行了匹配.
- 条件后勤回归分析了催眠使用 (一对二) 和跌倒之间的关联,调整了心理药物.
主要成果:
- 同时使用两种催眠药与跌倒几率比率 (OR) 的增加显著相关 (OR = 2.986;95% CI,1.041-8.567).
- 单一催眠药的使用与跌倒没有显著关联 (OR = 1.252;95% CI,0.843-1.859).
结论:
- 同时使用两种催眠药被认为是住院患者倒的危险因素.
- 使用单一的催眠药可能不会造成明显的跌倒风险.
相关概念视频
Sedatives and Hypnotics Drugs: Miscellaneous Agents
200
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
200
Sedatives and Hypnotics: Overview
435
Sedatives are drugs that alleviate anxiety, while hypnotics induce sleep. Both classes of medication suppress neuronal activity, leading to a calming effect for sedatives and facilitating sleep for hypnotics.
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
435
Sleepwalking and Sleep Talking
193
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
193
Sedatives and Hypnotics Drugs: Benzodiazepines
287
Benzodiazepines have both sedative and hypnotic properties. They include compounds such as diazepam (Valium) and alprazolam (Xanax). Structurally, their cores are similar, consisting of the fusion of a benzene ring and a diazepine ring, but they share a common mechanism of action in the central nervous system (CNS).
Benzodiazepines work by enhancing the effects of the inhibitory neurotransmitter GABA. They bind to the GABAA receptor, increasing its affinity for GABA, which opens chloride...
Benzodiazepines work by enhancing the effects of the inhibitory neurotransmitter GABA. They bind to the GABAA receptor, increasing its affinity for GABA, which opens chloride...
287
Sedatives and Hypnotics Drugs: Barbiturates
319
Sedatives and hypnotics encompass a drug class that acts on the central nervous system (CNS) to alleviate anxiety, promote relaxation and induce sleep.These drugs function by amplifying the actions of the neurotransmitter γ-aminobutyric acid (GABA), resulting in reduced neuronal activity. Barbiturates, a subset of sedatives and hypnotics first synthesized in the late 1800s, are categorized into ultra-short, short, intermediate, and long-acting groups based on their duration of effect. A...
319
Management of Insomnia
278
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
278

