序贯镇静镇痛对ICU肺炎患者睡眠的影响  

Effect of Sequential Sedation and Analgesia on Sleep in ICU Patients with Pneumonia

作　　者：柳逢春 胡称心 叶章丽 王润丰[2] LIU Fengchun;HU Chengxin;YE Zhangli;WANG Ruifeng(Nanping Second Hospital,Nanping 354200,China;Nanjing Chest Hospital,Nanjing 210029,China)

机构地区：[1]南平市第二医院,南平354200 [2]南京胸科医院,南京210029

出　　处：《世界睡眠医学杂志》2024年第9期1934-1936,1940,共4页World Journal of Sleep Medicine

摘　　要：目的:本研究旨在探究重症监护室(ICU)重症肺炎患者应用序贯式镇静镇痛疗法对睡眠障碍的改善效果。方法:选取2022年2月至2023年2月南平市第二医院收治的ICU重症肺炎患者80例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组40例。对照组给予常规镇痛治疗,观察组给予序贯式镇静镇痛疗法治疗,针对2组患者的匹兹堡睡眠质量指数(PSQI)、36条目简明健康量表(SF-36)进行比较。结果:经过治疗,观察组患者的PSQI评分低于对照组,SF-36评分高于对照组(P<0.05)。结论:序贯式镇静镇痛疗法在改善ICU重症肺炎患者睡眠障碍方面表现出良好的效果,能够显著提高其睡眠质量,提升其生命质量。Objective:To investigate the impact of sequential sedation and analgesia therapy on sleep disorders in patients with severe pneumonia in the Intensive Care Unit(ICU).Methods:A total of 80 ICU patients with severe pneumonia admitted to Nanping Second Hospital from February 2022 to February 2023 were selected as research subjects.Participants were randomly assigned to either a control group or an observation group,with 40 patients in each.The control group received conventional analgesia,while the observation group was treated with sequential sedation and analgesia therapy.Sleep quality was assessed using the Pittsburgh Sleep Quality Index(PSQI),and quality of life was assessed using the Short Form Health Survey(SF-36).Results:After treatment,the observation group′s PSQI scores were significantly lower,and their SF-36 scores were significantly higher than those of the control group(P<0.05).Conclusion:Sequential sedation and analgesia therapy effectively improves sleep disorders in ICU patients with severe pneumonia,significantly enhancing both their sleep quality and overall quality of life.

关 键 词：重症监护室 重症肺炎 序贯式镇静镇痛疗法 睡眠障碍 睡眠质量 匹兹堡睡眠质量指数 

分 类 号：R563.1[医药卫生—呼吸系统] R338.63[医药卫生—内科学]