隔离噪声对接受部手术的老年患者手术后妄想的影响:随机对照试验协议
Chun Yang1,2, Min-Yuan Zhuang1,2, Xian Chen1,2
1Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
BMJ open
|April 27, 2025
概括
消除噪音的耳机可以减少老年部手术患者的手术后妄想 (POD). 本试验调查了它们对POD发病率,疼痛,睡眠和认知功能的影响,旨在改善手术结果.
科学领域:
- 老年医学 老年医学
- 麻醉学 麻醉学
- 手术瘤学手术瘤学
背景情况:
- 手术后痴呆症 (POD) 是老年手术患者的一种严重并发症,增加了发病率和死亡率.
- 之前的研究表明,隔离噪音可以减少重症监护室 (ICU) 的妄想发病率.
- 接受关节手术的老年患者特别容易患POD.
研究的目的:
- 评估消除噪声耳机在减少部手术的老年患者中POD发病率方面的有效性.
- 评估隔离噪声对二次结果的影响,包括疼痛,睡眠质量,恶心,吐,认知功能和死亡率.
主要方法:
- 这是一项随机对照试验,涉及320名老年患者,按年龄,手术类型和ICU入院分层.
- 干预组在整个麻醉和术后护理期间都使用了降噪耳机.
- 对照组接受了常规护理. 使用混评估方法 (CAM) 和CAM-ICU评估的POD.
主要成果:
- 主要结局:手术后7天内或出院前POD发生率.
- 二次结局:术后疼痛,睡眠质量,恶心/吐发生率,认知功能和30天死亡率.
- 对所有结果的数据收集将根据研究协议完成.
结论:
- 结果将阐明隔离噪声在减轻老年手术患者的POD中的作用.
- 结果可能会为预防弱势群体痴呆症的临床实践指南提供信息.
- 这项研究有助于理解改善术后恢复的非药理干预措施.
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