在接受心脏手术的老年患者中,术前长期睡眠质量低下和术后狂妄之间存在关联:一项多中心观察性研究
Zhilian Huang1, Chengfeng Huang2, Yanfang Deng3
1Operating Room Department, The First Affiliated Hospital of Jinan University, Guangzhou, China.
The American surgeon
|January 16, 2024
概括
在心脏手术前长期睡眠质量不佳会增加老年患者手术后妄想症 (POD) 的风险. 匹兹堡睡眠质量指数 (PSQI) 确定了这一显著的关联.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
背景情况:
- 手术后痴呆症 (POD) 是心脏手术后老年患者经常出现的并发症.
- 睡眠障碍被认为是POD的潜在风险因素.
- 关于手术前睡眠质量对这一群体的POD长期影响的研究有限.
研究的目的:
- 调查手术前睡眠质量与心脏手术的老年患者中POD发生率之间的关联.
- 识别导致POD的风险因素.
- 探索影响术后意识水平的因素.
主要方法:
- 纳入了194名接受心脏手术的老年患者 (≥60岁).
- 使用匹兹堡睡眠质量指数 (PSQI) 评估了手术前睡眠质量.
- 使用混评估方法选术后妄想;采用后勤回归分析.
主要成果:
- 与没有妄想症 (7.8 ± 3.4;P = .007) 相比,POD患者的术前睡眠障碍患病率和PSQI得分 (12.9 ± 5.1) 较高.
- 后勤回归显示,长期的睡眠质量差 (高PSQI得分) 和晚年与POD有显著联系.
- 具有高PSQI分数的月份数显示POD的预测能力为0.762.
结论:
- 长期的手术前睡眠质量不佳,根据PSQI得分,与老年心脏手术患者患术后妄想症的风险增加有关.
- 手术前睡眠障碍是POD恶化的重要预测因素.
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