引导认知全身麻醉联合神经阻滞干预对老年术后患者睡眠质量的影响  

Study on the Impact of Guided Cognitive General Anesthesia Combined with Nerve Block Intervention on Sleep Quality in Elderly Postoperative Patients

作　　者：林丽利 吴爱莲 李满金 LIN Lili;WU Ailian;LI Manjin(Operating Room and Anesthesiology Department,Fuzhou Second General Hospital,Fujian Province,Fuzhou 350000,China)

机构地区：[1]福建省福州市第二医院手术室麻醉科,福州350000

出　　处：《世界睡眠医学杂志》2024年第3期490-492,共3页World Journal of Sleep Medicine

基　　金：福州市临床重点专科建设项目(20220202)。

摘　　要：目的:探究引导认知全身麻醉联合神经阻滞干预对老年术后患者睡眠质量的影响。方法:选取2022年9月至2023年9月福建省福州市第二医院收治的老年手术患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组接受传统全身麻醉联合神经阻滞,观察组接受引导认知全身麻醉联合神经阻滞干预,比较2组患者术后匹兹堡睡眠质量指数(PSQI)评分、睡眠时间、入睡时间、术后疼痛程度、并发症发生情况、心理状态以及血氧饱和度变化。结果:观察组入睡时间、PSQI评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、视觉模拟量表(VAS)评分以及并发症发生率均明显低于对照组(均P<0.05)。观察组睡眠时间长于对照组(P<0.05)。结论:引导认知全身麻醉联合神经阻滞干预可以有效改善老年术后患者的睡眠质量,延长睡眠时间,缩短入睡时间,并提高睡眠深度,同时减轻患者术后疼痛,缓解负面情绪,提高舒适度。Objective:This study aims to explore the application effect of guided general anesthesia combined with nerve block intervention on sleep quality in elderly postoperative patients.Methods:A total of 80 elderly surgical patients admitted from September 2022 to September 2023 were randomly divided into a control group(n=40 cases,receiving traditional general anesthesia+nerve block)and an experimental group(n=40 cases,receiving guided cognitive general anesthesia+nerve block intervention)using a random number table method.We compared the two groups of patients in terms of postoperative sleep quality(PSQI score),sleep time,sleep onset time,postoperative pain level,incidence of complications,changes in psychological state,and blood oxygen saturation.Results:The sleep time,PSQI score,SAS score,SDS score,VAS score,and incidence of complications in the experimental group were significantly lower than those in the control group(P s<0.05);The sleep time of the experimental group was higher than that of the control group(P<0.05).Conclusion:The application of guided cognitive general anesthesia combined with nerve block intervention can effectively improve sleep quality,extend sleep duration,shorten sleep onset time,and enhance sleep depth in elderly postoperative patients,while also reducing postoperative pain,alleviating negative emotions,and increasing comfort.

关 键 词：引导认知全身麻醉 神经阻滞干预 老年手术患者 心理状态 疼痛 睡眠质量 并发症 血氧饱和度 

分 类 号：R619.9[医药卫生—外科学] R473.6[医药卫生—临床医学]