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外科手术后睡眠障碍的研究进展
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Abstract:
术后睡眠障碍(postoperative sleep disturbances, PSD)是指术后患者在睡眠–觉醒过程中出现的一系列大脑功能性失调及自主性亢奋，表现为入睡困难、睡眠剥夺、睡眠数量和质量下降等。它可诱发术后疲劳、代谢紊乱、高血压和心脑血管疾病等，且被认为是术后谵妄(postoperative delirium, POD)发生的重要风险因素。本文旨在综述术后睡眠障碍的特征、风险因素以及预防和治疗策略，以期减少PSD的发生率，并提高围手术期患者的管理质量。
Postoperative sleep disorder (postoperative sleep disturbances, PSD) refers to a series of brain dysfunction and autonomic hyperactivity in sleep-awakening, such as difficulty, sleep deprivation, sleep quantity and quality decline, etc. It can induce postoperative fatigue, metabolic disorders, hypertension and cardiovascular and cerebrovascular diseases, and is an important risk factor for the occurrence of postoperative delusion (postoperative delirium, POD). Here, we summarized the characteristics, risk factors, and prevention and treatment methods of postoperative sleep disorders, so as to reduce the occurrence of PSD and improve the quality of perioperative patient management.
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