在外科手术期间的睡眠螺旋活动和术后的睡眠障碍在接受整形外科手术的老年患者:一个前性队列研究
Yuchen Dai1, Kaikai Shi1, Qingren Liu2
1Department of Anesthesiology & Key Laboratory of Clinical Science and Research, Zhongda Hospital, Southeast University, Nanjing, Jiangsu, People's Republic of China.
在特定的大脑区域的内科手术睡眠旋密度预测了老年骨科患者的手术后睡眠障碍. 认知功能和疼痛也显著影响手术后的睡眠质量.
科学领域:
- 神经科学是一个神经科学.
- 睡眠医学 睡眠医学
- 老年人手术是一门老年手术.
背景情况:
- 手术后睡眠障碍 (PSD) 在老年骨科患者中很常见.
- 在此背景下,睡眠质量的标志物 - - 内科手术睡眠线索活动尚未得到广泛研究.
研究的目的:
- 调查老年骨科手术患者的手术内睡眠活动和PSD之间的关系.
- 在这个人群中确定PSD的预测因素.
主要方法:
- 在212名老年骨科手术患者的前性观察队列研究中.
- 收集的手术内脑电图 (EEG) 数据.
- 在术后1日和3日使用雅典失眠量表评估睡眠质量.
- 使用逻辑回归分析相关性.
主要成果:
- 术后病变发生率在术后一天 (POD) 1为65.6%,在POD 3为41.9%.
- 在特定的EEG通道 (Fp1/Fp2,F7/F8) 中,手术内线密度较低和线持续时间较短与POD 3上的PSD有关.
- 在F7/F8通道中减少的螺旋密度是POD3上PSD的独立风险因素 (赔率[OR]0.543).
- 迷你精神状态检查 (MMSE) 的分数预测了POD1 (OR 0.806) 和POD3 (OR 0.701) 两种PSD的预测.
- 术后疼痛在POD 1 (OR 1.480) 和POD 3 (OR 1.848) 上与PSD独立相关.
结论:
- 在F7/F8通道中的内科手术睡眠旋密度是老年骨科手术患者POD3PSD的独立风险因素.
- MMSE得分和术后疼痛是PSD的重要独立预测因素.
更多相关视频
06:23A Chronic Sleep Fragmentation Model using Vibrating Orbital Rotor to Induce Cognitive Deficit and Anxiety-Like Behavior in Young Wild-Type Mice
Published on: September 22, 2020
12:04Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery
Published on: January 6, 2011
相关概念视频
Stages of General Anesthesia
General Anesthesia: Overview
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Skeletal Muscle Relaxants: Adverse Effects
Unlike...
Sedatives and Hypnotics Drugs: Miscellaneous Agents
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Sleep-Wake Cycles
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
