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重症监护病房中的睡眠。

Sleep in the intensive care unit.

作者信息

Peruzzi William T

机构信息

Department of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA.

出版信息

Pharmacotherapy. 2005 May;25(5 Pt 2):34S-9S. doi: 10.1592/phco.2005.25.5_part_2.34s.

DOI:10.1592/phco.2005.25.5_part_2.34s
PMID:15899747
Abstract

Adequate sleep, in terms of both quantity and quality, is an essential component of any overall health program. Sleep deprivation has serious deleterious effects on any subject, regardless of species. The most obvious and well-documented adverse effects of sleep deprivation are focused on cognitive function, cardiopulmonary function, and the immune system. Despite these deleterious effects of sleep deprivation, even on healthy subjects, intensive care patients are rarely permitted sufficient natural sleep. The causes of sleep disturbance in the intensive care unit involve factors related to the underlying clinical condition, those due to the various drugs required to provide treatment and comfort, and those related to the environment and processes of care in the intensive care unit. Only through a comprehensive approach to intensive care can an environment that promotes sleep and revitalization be constructed and maintained.

摘要

充足的睡眠,无论是在数量上还是质量上,都是任何整体健康计划的重要组成部分。睡眠剥夺对任何个体都会产生严重的有害影响,无论其物种如何。睡眠剥夺最明显且有充分文献记载的不良影响集中在认知功能、心肺功能和免疫系统上。尽管睡眠剥夺会产生这些有害影响,即使是对健康受试者也是如此,但重症监护患者很少能获得足够的自然睡眠。重症监护病房睡眠障碍的原因包括与潜在临床状况相关的因素、因提供治疗和舒适所需的各种药物导致的因素,以及与重症监护病房的环境和护理过程相关的因素。只有通过全面的重症监护方法,才能构建并维持一个促进睡眠和恢复活力的环境。

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