右美托咪定诱导睡眠平衡术治疗慢性原发性失眠症患者的护理  

Nursing Practice of Dexmedetomidine Induce Sleep Balance Treatment(DISBT)in Patients with Chronic Primary Insomnia

作　　者：钟代曲[1] 蒋晓江[1] 马国重[1] 曾昌琴[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所神经内科三病区,重庆400042

出　　处：《解放军护理杂志》2014年第14期28-31,34,共5页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨右美托咪定诱导睡眠平衡术(dexmedetomidine induce sleep balance treatment,DISBT)治疗慢性原发性失眠症患者的护理方法。方法 2012年2-12月,便利抽样法选取在第三军医大学大坪医院野战外科研究所神经内科治疗的62例慢性顽固性原发性失眠患者,按其入院时间先后分为观察组和对照组,每组31例。对照组患者给予常规治疗,观察组患者采用DISBT治疗,治疗时间均为3 d,共行3次治疗。比较两组患者治疗前后匹兹堡睡眠质量指数、过度觉醒情况及睡眠结构改善情况。结果治疗后,观察组患者匹兹堡睡眠质量指数、过度觉醒情况、睡眠结构改善情况优于对照组,差异均有统计学意义(均P<0.05)。结论右美托咪定诱导睡眠平衡术能有效降低失眠患者的脑皮质过度觉醒水平,纠正紊乱的睡眠-觉醒通路,改善患者失眠症状;正确做好治疗前、中、后护理,是保障治疗安全和保持治疗效果的重要措施。Objective To discuss the nursing practice of dexmedetomidine induce sleep balance treatment（DISBT）in patients with chronic primary insomnia.Methods Totally 62 patients with chronic refractory primary insomnia were randomly divided into observation group and control group,with 31 cases in each group.Patients in observation group were given DISBT for 3days,while patients in the control group were given conventional treatment.Pittsburgh sleep quality index（PSQI）,Hyper Arousal Scale（HAS）and sleep architecture were compared before and after treatment.Results The Pittsburgh sleep quality index（PSQI）,Hyper Arousal Scale（HAS）and sleep architecture of DISBT group were better than those of control group（all P〈0.05）.Conclusion DISBT can effectively reduce the insomnia patient cortex hyperarousal level,correct disorder of sleep-awakening pathways,and ease insomnia symptom.Correct nursing before,during and after treatment was the key point for ensuring safety and treatment effect.

关 键 词：右美托咪定 原发性失眠症 过度觉醒 护理 

分 类 号：R163[医药卫生—公共卫生与预防医学]