穿刺性迷走神经电刺激改善老年患者手术后睡眠障碍 (VNstep):随机对照临床试验的协议
Tianyuan Wang1, Youxuan Wu1, Xuan Hou1
1Department of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, No. 119, Southwest 4th Ring Road, Fengtai District, Beijing, 100070, People's Republic of China.
Trials
|January 22, 2026
概括
穿刺性阴道神经刺激 (taVNS) 可以改善经过整体麻醉的老年患者的外科手术后睡眠障碍. 这项随机对照试验调查了taVNS的有效性和安全性,提供了潜在的新治疗途径.
科学领域:
- 麻醉学和外科手术期间的医学.
- 睡眠医学 睡眠医学
- 神经调节是一种神经调节.
背景情况:
- 在全身麻醉下老年患者的术后睡眠障碍 (PSD) 与增加的发病率和较差的结果有关.
- 神经电刺激 (VNS) 对自主功能障碍有希望,并且由于其抗炎性质,可能为睡眠障碍提供治疗益处.
研究的目的:
- 评价跨静脉神经刺激 (taVNS) 的有效性和可行性,以改善全身麻醉的老年患者的PSD.
主要方法:
- 一个单中心,前性,随机对照试验,涉及164名老年患者.
- 患者被随机分配1:1接受外科手术期间的电动迷走神经刺激或假刺激.
- 主要结局:手术后3天内发生PSD (雅典失眠量表[AIS]≥6或数值评分量表[NRS]≥6) 的发生率.
主要成果:
- 该研究通过睡眠质量,疼痛得分,焦虑抑郁得分和妄想发病率来评估有效性.
- 安全参数包括监测与干预相关的不良事件.
结论:
- 该研究旨在确定taVNS是否是接受全身麻醉的老年患者PSD的有效和可行的治疗方法.
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