戒烟后恢复睡眠的条件:一个系统的审查
Sibylle Mauries1, Benjamin Rolland2, Maia Mallevays3
1Département de psychiatrie et d'addictologie, AP-HP, GHU Paris Nord, DMU Neurosciences, Hôpital Bichat - Claude Bernard, F-75018, Paris, France; Université Paris Cité, Paris, France; Université de Paris, NeuroDiderot, Inserm U1141, F-75019, Paris, France.
Sleep medicine reviews
|February 2, 2025
概括
戒烟会扰乱睡眠,戒烟症状持续数周,可能导致复发. 尼古丁替代疗法 (NRT) 可能有助于在戒烟期间恢复睡眠模式.
科学领域:
- 睡眠医学 睡眠医学
- 成研究 研究成研究
- 行为科学 行为科学
背景情况:
- 吸烟者经常报告睡眠障碍和睡眠结构的改变,包括缓慢波睡眠 (SWS) 的减少.
- 戒烟和尼古丁戒断对睡眠质量和结构的影响需要进一步研究.
研究的目的:
- 系统地审查戒烟对睡眠的影响,使用客观和主观评估方法.
- 为了比较戒断前和戒断后的睡眠特征,以及戒断和复发个体之间的睡眠特征.
主要方法:
- 对评估戒烟前和戒烟后睡眠的研究进行文献综述.
- 在保持禁欲的人与复发的人之间的睡眠模式的比较.
- 分析涉及停止不接受治疗,或使用药物或心理治疗干预措施的研究.
主要成果:
- 没有尼古丁替代疗法 (NRT) 的戒烟表明,戒烟者减少了N1睡眠阶段,而复发者减少了快速眼动 (REM) 睡眠.
- 在戒断和复发组之间没有发现慢波睡眠 (SWS) 的显著差异.
- 长期的NRT补丁与增加的SWS有关,睡眠变化可能预测复发.
结论:
- 在戒烟的最初几周内,睡眠障碍很常见,可以预测复发.
- 尼古丁替代疗法 (NRT) 可能有助于恢复戒烟者的睡眠模式.
- 由于异质的结果,需要进一步的研究,但NRT显示了减轻戒烟期间睡眠问题的前景.
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