德斯弗隆维持对接受选择性乳腺手术的患者手术后睡眠质量的影响:一个非劣势的随机对照试验
Xiaohua Wang1, Bingrui Xiong1, Tangjing Wu1
1Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Sleep medicine
|July 22, 2024
概括
在术后睡眠质量方面,desflurane 麻醉维护与 propofol 并不逊色. 虽然整体睡眠质量类似,但desflurane可能会改变睡眠结构,影响非快速眼动睡眠.
科学领域:
- 麻醉学 麻醉学
- 睡眠医学 睡眠医学
- 在外科手术后的护理.
背景情况:
- 手术后睡眠障碍 (PSD) 是常见的,并影响患者的康复.
- 优化术后睡眠管理对于患者的治疗结果至关重要.
研究的目的:
- 为了比较desflurane与propofol对手术后睡眠质量的影响.
- 评估对患者焦虑,抑郁和疼痛的影响.
主要方法:
- 经过乳腺手术的118名患者被随机分配给德斯弗兰或普罗波麻醉.
- 使用匹兹堡睡眠质量指数 (PSQI) 评估手术后第3,7和30天的睡眠质量.
- 目标睡眠参数 (TST,WASO,REM,NREM) 通过Fitbit Charge 2TM进行测量.
主要成果:
- 在手术后的第3天,desflurane对于PSQI得分与propofol没有劣势.
- 两组之间PSQI,焦虑,抑郁或疼痛得分没有显著差异.
- 在德斯兰组中观察到较高的非快速眼动 (NREM) 睡眠.
结论:
- 维护德斯弗是维持术后睡眠质量的可行替代品.
- 麻醉剂的选择可能会影响特定的睡眠架构组件,例如NREM睡眠.
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