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对老年患者手术后失眠的深入分析及其对康复的影响
Yuanqing Wang1,2, Tianlong Wang3, Shuai Feng3
1Department of Neurology, Xuanwu Hospital, Capital Medical University, 45 Changchun St. Xicheng District, Beijing, China.
Sleep & breathing = Schlaf & Atmung
|June 10, 2024
概括
术后失眠常见于接受脊柱手术的老年患者,影响康复. 识别和解决抑郁和焦虑等风险因素对于改善康复结果至关重要.
科学领域:
- 老年医学 老年医学
- 神经外科 神经外科
- 睡眠医学 睡眠医学
背景情况:
- 手术后失眠是外科手术后老年患者的一个普遍问题.
- 了解手术后失眠的风险因素和影响对于优化患者康复至关重要.
研究的目的:
- 为了评估经手术后失眠的患病率在接受脊柱体间融合的老年患者中.
- 为了确定与术后失眠相关的术前风险因素.
- 探索术后失眠和康复结果之间的关系.
主要方法:
- 研究了一组132名老年患者 (≥65岁) 接受脊柱体间融合.
- 收集的数据包括人口统计,匹兹堡睡眠质量指数 (PSQI),老年抑郁量表 (GDS) 和贝克焦虑库存 (BAI).
- 睡眠质量,恢复和心理评估在多个时间点进行,包括手术后的第一和第三天,以及手术后的两周.
主要成果:
- 手术后失眠的患病率很高,在第一天晚上记录了61.36%,第三天晚上54.55%,两周后为48.48%.
- 手术前的因素,如PSQI,GDS和手术持续时间与术后失眠有显著的相关性.
- 经历术后失眠的患者在术后康复过程中与没有失眠的患者相比,表现出显著的差异.
结论:
- 手术后的失眠在脊椎手术后的老年人群中非常普遍,并显著影响康复.
- 通过具体干预措施准已确定的风险因素,可能有助于减轻术后失眠的发生率.
- 需要进一步的研究来开发和评估旨在减少术后失眠和改善患者结果的干预措施.
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