使用心肺合来评估睡眠质量及其对ICU患者痴呆症的预测价值
Chunyan Liu1, Xiaowei Ji1, Jianhong Lu1
1Department of Critical Care Medicine, Huzhou Central Hospital, Fifth School of Clinical Medicine of Zhejiang Chinese Medical University, Affiliated Central Hospital of Huzhou University, Huzhou, China.
患有妄想症的重症监护室 (ICU) 患者的睡眠质量较差. 心肺合 (CPC) 分析显示,稳定的睡眠时间是关键的保护因素和妄想的预测因素.
科学领域:
- 关键护理医学 关键护理医学
- 睡眠医学 睡眠医学
- 神经科学是一个神经科学.
背景情况:
- 在重症监护室 (ICU) 睡眠障碍很常见.
- 痴呆症是重症患者常见的并发症,与不良结果有关.
- 需要对睡眠质量的客观测量来了解它在妄想中的作用.
研究的目的:
- 用心肺合 (CPC) 分析评估ICU患者的睡眠质量.
- 为了确定CPC衍生睡眠参数对妄发展的预测值.
主要方法:
- 135名ICU患者使用CPC分析进行评估.
- 根据CAM-ICU.患者被分为妄 (n=44) 和对照 (n=91) 组.
- 使用后勤回归和ROC分析来确定风险因素和预测值.
主要成果:
- 痴呆症患者的总睡眠时间显著降低,睡眠时间稳定,睡眠效率高.
- 在妄组中观察到更高的不稳定睡眠时间,唤醒时间和呼吸暂停-呼吸暂停指数 (AHI).
- 稳定的睡眠时间 (AUC=0.888) 和稳定的睡眠延迟显示出的显著预测价值.
结论:
- 与非狂妄症患者相比,患有狂妄症的ICU患者表现出睡眠质量受损.
- 通过CPC测量稳定的睡眠时间是一种强大的保护因素,也是神经的潜在客观生物标志物.
- CPC分析为评估睡眠和预测ICU设置中的妄想风险提供了有价值的工具.
更多相关视频
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
06:04Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
相关概念视频
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
Medical History
Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Pulse rhythm
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Assessment of Ventilation I: Respiratory Rate
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
Sleep Apnea
The condition is more prevalent among...
Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
