术前睡眠障碍与急性术后疼痛控制之间的关系:系统性审查和元分析
Andrea Niklasson1, Patrick H Finan2, Michael T Smith3
1Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Sleep medicine reviews
|November 6, 2024
概括
手术前睡眠质量不佳显著增加了严重的手术后疼痛和更高的止痛需求的风险. 在手术前解决睡眠问题可能会改善患者的康复和疼痛管理.
科学领域:
- 麻醉学 麻醉学
- 睡眠医学 睡眠医学
- 疼痛管理 疼痛管理
背景情况:
- 手术前睡眠质量差和睡眠模式受损与手术后不良结果有关.
- 在患有手术前睡眠障碍的患者中,急性术后疼痛强度和止痛药的需求可能会增加.
- 这可能会对患者的康复,心理健康和身体健康产生负面影响.
研究的目的:
- 系统地审查和综合现有关于手术前睡眠障碍与急性手术后疼痛控制之间的关系的证据.
- 为了研究失眠症状,睡眠连续性和睡眠呼吸障碍对术后疼痛的影响.
主要方法:
- 从创立到2023年12月,在四个电子数据库中进行了系统的文献搜索.
- 数据提取和偏差风险评估由两位独立审稿人进行.
- 包括的研究包括26项前性和3项后性队列研究,共16104名参与者.
主要成果:
- 五项研究 (1226名参与者) 的分析显示,临床上显著的手术前失眠症状与术后第一天的中度至重度疼痛强度有关 (OR 2.69).
- 定性分析表明,术前失眠,睡眠连续性受损,以及急性和亚急性术后疼痛控制较差之间存在强烈的关联.
- 阻塞性睡眠呼吸暂停综合征的结果不一致.
结论:
- 术前失眠症状和睡眠连续性受损是急性和亚急性术后疼痛增加的重要危险因素.
- 失眠是一种可修改的风险因素,这表明术前睡眠干预可以增强术后疼痛管理.
- 进一步的研究可能会澄清睡眠呼吸障碍在术后疼痛结果中的作用.
关键词:
止痛药 止痛药是一种止痛药.失眠是一种失眠.阻塞性睡眠呼吸暂停症是什么在阿片类药物中,阿片类药物经期操作性 经期操作性手术后的疼痛 术后的疼痛睡眠 睡眠 睡眠 睡眠睡眠障碍 睡眠障碍 睡眠障碍手术 手术 手术 术 术更多相关视频
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