患有多发性骨髓瘤的成人的睡眠质量和嗜睡. 黑色素是一种潜在的治疗方法吗?
Mariana Fiori1, Evellyn M de Azevedo1, Lais S Rodrigues1
1Neurophysiology Laboratory, Biological Sciences Sector, Department of Physiology, Federal University of Paraná (UFPR), Curitiba, Brazil.
Physiological reports
|March 12, 2026
概括
多发性骨髓瘤 (MM) 患者的睡眠质量不佳,其中75%受影响. 外源性黑激素没有改善MM患者的睡眠质量,并且在对照组中恶化了睡眠质量,这表明需要新的睡眠疗法.
科学领域:
- 在瘤学瘤学.
- 睡眠医学 睡眠医学
- 时间生物学 时间生物学
背景情况:
- 睡眠障碍在癌症患者中很普遍,严重影响他们的生活质量.
- 多发性骨髓瘤 (MM) 患者的睡眠状况尚不清楚,因此需要进一步描述.
- 外源性黑因其在治疗睡眠障碍方面的治疗潜力而受到研究.
研究的目的:
- 系统地描述MM患者的睡眠状况.
- 评估外源性黑激素在改善MM患者睡眠质量的有效性.
- 调查MM中睡眠质量和白天嗜睡之间的关系.
主要方法:
- 一项观察性研究涉及46名MM患者和64名年龄匹配的对照.
- 使用匹兹堡睡眠质量指数 (PSQI) 评估睡眠质量.
- 使用爱普沃思睡眠度量表 (ESS) 评估白天的嗜睡.
主要成果:
- 与对照组相比,MM患者的整体睡眠质量明显降低 (p=0.034).
- 75%的MM患者报告睡眠质量差或睡眠障碍,睡眠延迟,持续时间和药物使用的具体障碍.
- 外源性黑激素并没有改善MM患者的睡眠质量,并且在对照组中恶化了睡眠质量;没有观察到白天嗜睡的显著差异.
结论:
- 睡眠质量差是多发性骨髓瘤患者的普遍特征.
- 外源性黑激素在改善MM患者的整体睡眠质量方面表现出有限的有效性.
- 需要对标准化慢性治疗进行进一步的研究,以管理MM患者的睡眠和清醒障碍.
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