右美托咪定对睡眠障碍老年脊柱手术患者术后睡眠质量的影响研究
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摘要
目的:研究与观察右美托咪定对睡眠障碍老年脊柱手术患者术后睡眠质量的影响。方法:选取2016年10月至2018年5月期间四川省射洪县中医院收治的睡眠障碍老年脊柱手术患者82例为研究对象,将其随机分为对照组和观察组,每组41例。对照组患者进行常规麻醉,观察组则在对照组的基础上加用右美托咪定。比较2组患者术前及术后的失眠严重指数量表及匹兹堡睡眠质量指数量表评估结果。结果:术前2组的失眠严重指数量表及匹兹堡睡眠质量指数量表评估结果比较,差异无统计学意义(P> 0. 05),术后观察组的失眠严重指数量表及匹兹堡睡眠质量指数量表评估结果均显著优于对照组,差异有统计学意义(P <0. 05)。结论:右美托咪定对睡眠障碍老年脊柱手术患者术后睡眠质量的影响更为积极,因此在睡眠障碍老年脊柱手术患者中具有较高的应用价值。
Objective: To study and observe the influence of dexmedetomidine for the postoperative sleep quality of elderly patients with sleep disorders and spinal surgery. Methods: A Total of 82 elderly patients with sleep disorders and spinal surgery from October 2016 to May 2018 were chosen as the research object,and they were randomly divided into control group and observation group,each group respectively included 41 cases. The control group were with routine anaesthesia,the observation group were with dexmedetomidine on the treatment of control group. Then the evaluation results of insomnia severity index scale and Pittsburgh sleep quality index scale of two groups before and after the surgery were compared. Results: The evaluation results of insomnia severity index scale and Pittsburgh sleep quality index scale of two groups before the surgery were compared,there were no statistically significant differences( P > 0. 05),the evaluation results of insomnia severity index scale and Pittsburgh sleep quality index scale of observation group after the surgery were all significantly better than those of control group,there were statistically significant differences( P < 0. 05). Conclusion: The influence of dexmedetomidine for the postoperative sleep quality of elderly patients with sleep disorders and spinal surgery are more active,so its application value in the elderly patients with sleep disorders and spinal surgery are higher.
Objective: To study and observe the influence of dexmedetomidine for the postoperative sleep quality of elderly patients with sleep disorders and spinal surgery. Methods: A Total of 82 elderly patients with sleep disorders and spinal surgery from October 2016 to May 2018 were chosen as the research object,and they were randomly divided into control group and observation group,each group respectively included 41 cases. The control group were with routine anaesthesia,the observation group were with dexmedetomidine on the treatment of control group. Then the evaluation results of insomnia severity index scale and Pittsburgh sleep quality index scale of two groups before and after the surgery were compared. Results: The evaluation results of insomnia severity index scale and Pittsburgh sleep quality index scale of two groups before the surgery were compared,there were no statistically significant differences( P > 0. 05),the evaluation results of insomnia severity index scale and Pittsburgh sleep quality index scale of observation group after the surgery were all significantly better than those of control group,there were statistically significant differences( P < 0. 05). Conclusion: The influence of dexmedetomidine for the postoperative sleep quality of elderly patients with sleep disorders and spinal surgery are more active,so its application value in the elderly patients with sleep disorders and spinal surgery are higher.
引文
[1]曹国平,张家敏,牛聪,等.右美托咪定对老年患者骨科手术后睡眠质量的影响[J].临床麻醉学杂志,2018,34(7):689-692.
[2]李鹏辉,秦瑞霞,张林忠.右美托咪定复合舒芬太尼术后自控镇痛效果及其对术后睡眠影响[J].临床医药实践,2018,27(4):248-251.
[3]房君,王瑞春,郑晋伟.右美托咪定对老年患者全髋关节置换术后早期睡眠质量的影响[J].中国现代医生,2018,56(7):93-96.
[4]代淑贞,刘英志,马晓军,等.右美托咪定复合罗哌卡因对膝关节置换术后病人睡眠以及肌力影响[J].青岛大学学报:医学版,2018,54(4):400-403.
[5]唐润栋,徐晓林,姜彦,等.右美托咪定复合舒芬太尼术后镇痛对经腹子宫切除术患者睡眠质量的影响[J].临床麻醉学杂志,2017,33(3):222-225.
[6]李翠平,孙运波,李堃,等.右美托咪定对老年术后机械通气病人睡眠与认知功能影响[J].青岛大学医学院学报,2017,53(2):206-209.
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[9]马晓静,赵建辉,赵通,等.右美托咪定对轻度睡眠障碍患者术后睡眠状态的影响[J].河北医药,2016,38(23):3614-3616.
[10]周达文,李鑫明.右美托咪定、舒芬太尼联合自控静脉镇痛在脊柱术后患者睡眠质量改善中的应用效果[J].中国继续医学教育,2016,8(23):54-55.
[11]Mohamed Mahmoud,Stacey L Ishman,Keith Mc Connell,et al. Upper Airway Reflexes are Preserved During Dexmedetomidine Sedation in Children With Down Syndrome and Obstructive Sleep Apnea[J].J Clin Sleep Med,2017,13(5):721-727.
[12]宋莺春,陆淑蕊,李玉军,等.不同剂量右美托咪定用于老年腰椎术后镇痛的疗效研究[J].中国药业,2015,24(19):35-36.
[2]李鹏辉,秦瑞霞,张林忠.右美托咪定复合舒芬太尼术后自控镇痛效果及其对术后睡眠影响[J].临床医药实践,2018,27(4):248-251.
[3]房君,王瑞春,郑晋伟.右美托咪定对老年患者全髋关节置换术后早期睡眠质量的影响[J].中国现代医生,2018,56(7):93-96.
[4]代淑贞,刘英志,马晓军,等.右美托咪定复合罗哌卡因对膝关节置换术后病人睡眠以及肌力影响[J].青岛大学学报:医学版,2018,54(4):400-403.
[5]唐润栋,徐晓林,姜彦,等.右美托咪定复合舒芬太尼术后镇痛对经腹子宫切除术患者睡眠质量的影响[J].临床麻醉学杂志,2017,33(3):222-225.
[6]李翠平,孙运波,李堃,等.右美托咪定对老年术后机械通气病人睡眠与认知功能影响[J].青岛大学医学院学报,2017,53(2):206-209.
[7]Stavros G Memtsoudis,Crispiana Cozowicz,Mahesh Nagappa,et al.Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea[J].Anesth Analg,2018,127(4):967-987.
[8]Eun-Jin Moon,Il-Gyu Ko,Sung-Eun Kim,et al. Dexmedetomidine Ameliorates Sleep Deprivation-Induced Depressive Behaviors in Mice[J]. Int Neurourol J,2018,22(Suppl 3):139-146.
[9]马晓静,赵建辉,赵通,等.右美托咪定对轻度睡眠障碍患者术后睡眠状态的影响[J].河北医药,2016,38(23):3614-3616.
[10]周达文,李鑫明.右美托咪定、舒芬太尼联合自控静脉镇痛在脊柱术后患者睡眠质量改善中的应用效果[J].中国继续医学教育,2016,8(23):54-55.
[11]Mohamed Mahmoud,Stacey L Ishman,Keith Mc Connell,et al. Upper Airway Reflexes are Preserved During Dexmedetomidine Sedation in Children With Down Syndrome and Obstructive Sleep Apnea[J].J Clin Sleep Med,2017,13(5):721-727.
[12]宋莺春,陆淑蕊,李玉军,等.不同剂量右美托咪定用于老年腰椎术后镇痛的疗效研究[J].中国药业,2015,24(19):35-36.