怀疑认知障碍或没有认知障碍的老年手术患者的睡眠障碍:一个多中心队列研究
Nina Butris1,2, Ellene Yan1,2, Yasmin Alhamdah1,2
1Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.
PloS one
|February 20, 2025
概括
老年手术患者经常经历睡眠障碍和认知障碍. 虽然手术后睡眠问题减少了,但针对抑郁症可能会改善结果.
科学领域:
- 老年人手术是一门老年人手术.
- 神经科学是一个神经科学.
- 睡眠医学 睡眠医学
背景情况:
- 睡眠障碍在老年人中很常见,并且与认知障碍有关.
- 老年手术患者的睡眠与认知功能之间的关系需要进一步研究.
研究的目的:
- 为了确定手术前后睡眠障碍的发生率和变化.
- 为了比较老年手术患者的睡眠模式,怀疑有或没有认知障碍 (sCI).
主要方法:
- 评估了252名年龄≥65岁且接受过非心脏手术的参与者.
- 使用匹兹堡睡眠质量指数 (PSQI) 测量睡眠质量.
- 认知障碍是使用多个验证工具进行选的.
主要成果:
- 43%的参与者查前手术性SCI的结果呈阳性.
- 在SCI患者中,术前睡眠障碍更为普遍 (63%与47%相比).
- 在两组中,睡眠障碍的患病率在手术后下降;轨迹没有差异.
结论:
- 睡眠障碍和SCI在老年手术患者中非常普遍.
- 抑郁症等因素会影响术后睡眠质量.
- 解决睡眠问题和相关疾病可能会改善手术恢复.
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