手术前的失眠加剧了老年关节整形患者的手术后睡眠碎片化:一项前性队列研究
Jiawen Su1, Meng Kang1, Xuan Lai2
1Department of Anesthesiology, Peking University Third Hospital, Beijing, China.
Frontiers in psychiatry
|December 26, 2025
概括
手术前的失眠会在接受关节或膝关节置换手术的老年患者中恶化睡眠碎片化. 这导致更长的睡眠延迟和改变了手术后的REM睡眠模式.
科学领域:
- 老年医学 老年医学
- 睡眠医学 睡眠医学
- 整形外科手术 整形外科手术
背景情况:
- 术前失眠在接受关节塑性手术的老年患者中很常见.
- 它对手术后睡眠障碍 (PSD) 的影响尚不清楚.
研究的目的:
- 为了确定手术前的失眠是否会在老年人全关节整形术 (THA/TKA) 患者中恶化术后的睡眠碎片化.
主要方法:
- 对121名老年THA/TKA患者进行前性队列研究.
- 基于手术前失眠的分层.
- 使用主观 (PSQI,AIS,ISI) 和客观 (EEG,动图) 措施进行睡眠评估.
主要成果:
- 手术前的失眠明显增加了手术后的睡眠碎片化.
- 失眠患者表现出高的微刺激和延长的睡眠延迟.
- 在手术后的失眠组中观察到选择性REM睡眠抑制.
结论:
- 术前失眠是一种独立的风险因素,可导致老年关节整形术患者的术后睡眠碎片化恶化.
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