在关节整形手术后,术后妄想和美拉宁节律丧失之间的关联:一项试点研究
Julio C Pérez-Alavéz1, Jesús T Castañeda-López2, Andrea G Nieto-Nino2
1Orthopedic Service, Grupo Angeles Hospital, Mexico City, MEX.
Cureus
|July 28, 2025
概括
老年人手术后妄想可能与黑激素分泌节律的破坏有关. 在白天和晚上评估黑激素可以帮助预测和潜在地预防部手术后的妄想.
科学领域:
- 老年医学 老年医学
- 神经科学是一个神经科学.
- 内分泌学 在内分泌学.
背景情况:
- 手术后痴呆症是接受手术,特别是关节整形手术的老年患者常见的并发症,影响临床结果.
- 痴呆症可能导致患者的病情恶化,患病率很高,影响多达55%的手术患者.
研究的目的:
- 调查唾液中黑激素水平与老年骨折患者手术后痴呆症的发展之间的关系.
- 为了确定是否与妄发作有关,黑激素分泌的昼夜节律受到干扰.
主要方法:
- 唾液黑激素水平测量在34名老年患者 (≥60岁) 的部骨折手术前后.
- 患者的 Delirium 发育受到监测,并分析了在 Delirium 和对照组中的 Melatonin 水平,以确定每日节律模式.
主要成果:
- 35.29%的患者出现了术后狂妄症.
- 对照患者在手术前和手术后都保持了明确的白天黑激素节律 (白天低,晚上高).
- 狂妄症患者也表现出白天节律,但在白天和夜晚阶段之间黑激素水平没有统计学上显著的差异.
结论:
- 黑激素分泌的昼夜节律中断可能是术后妄想的一个因素.
- 在光明和黑暗阶段测量黑激素水平对于评估昼夜节律完整性至关重要.
- 黑素评估可以为预防痴呆症或手术患者的早期干预策略提供信息.
相关概念视频
Management of Insomnia
323
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
323
Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
130
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
130
Sedatives and Hypnotics Drugs: Miscellaneous Agents
243
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
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...
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...
243
Insufficient Sleep and Sleep Deprivation
218
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
218
Circadian Rhythms and Gene Regulation
4.1K
The biological clock is involved in many aspects of regulating complex physiology in all animals. It was in 1935 when German zoologists, Hans Kalmus and Erwin Bünning, discovered the existence of circadian rhythm in Drosophila melanogaster. However, the internal molecular mechanisms behind the circadian clock remained a mystery until 1984, when Jeffrey C. Hall, Michael Rosbash, and Michael W. Young discovered the expression of the Per gene oscillating over a 24-hour cycle. In subsequent...
4.1K
Understanding Sleep
510
Sleep, an essential biological state, involves significant reductions in physical activity, sensory awareness, and interaction with the environment. This complex physiological process is primarily regulated by specific brain regions, notably the hypothalamus and pons, which govern the sleep-wake cycle or circadian rhythm.
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
510


