术后睡眠动态跨手术风险使用可穿戴设备技术
Abdulaziz Elemosho1,2, Odysseas P Chatzipanagiotou1,2, Meher Angez1,2
1Department of Surgery, The Ohio State University Wexner Medical Center, Columbus.
JAMA surgery
|February 4, 2026
概括
高风险的手术显著扰乱了睡眠结构,减少了几天的深度和快速眼动 (REM) 睡眠. 较低风险的手术影响最小,这凸显了睡眠质量在术后康复中的重要性.
科学领域:
- 睡眠医学 睡眠医学
- 术后恢复 术后恢复
- 在健康领域的可穿戴技术.
背景情况:
- 睡眠对于术后恢复至关重要,影响免疫力,疼痛,认知和愈合.
- 手术干预会扰乱睡眠,但与手术风险相关的程度和持续时间尚不清楚.
研究的目的:
- 分析术后睡眠阶段的变化.
- 为了确定睡眠障碍如何随手术风险而变化.
主要方法:
- 使用可穿戴设备睡眠数据和电子健康记录的回顾性队列研究.
- 包括有足够的术前和术后睡眠数据的成年人.
- 在使用线性混合效应模型的风险层中分析了睡眠指标 (总体,REM,深度,轻度,觉醒).
主要成果:
- 高风险的手术显著减少了手术后7天的REM和深度睡眠.
- 中等风险的手术会导致较轻的,暂时的睡眠障碍.
- 低风险手术显示没有显著的睡眠变化.
- 使用阿片类药物,年龄较大,睡眠总量减少与睡眠架构较差以及并发症风险增加有关.
结论:
- 术后睡眠架构因手术类型而异地受到干扰.
- 高风险的手术会导致最长时间的REM和深度睡眠障碍.
- 睡眠障碍的严重程度与程序风险相关,影响恢复.
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