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全身麻醉对牙列残疾患者术后睡眠周期的影响。

Effects of general anesthesia on postoperative sleep cycles in dentally disabled patients.

作者信息

Ayuse Terumi, Kurata Shinji, Sanuki Takuro, Mishima Gaku, Kiriishi Kensuke, Kawai Mari, Watanabe Toshihiro, Ozaki-Honda Yu, Tanoue Naomi, Magata Nobuaki, Yamaguchi Kaori, Yoshida Mizuki, Ayuse Takao

机构信息

Special care dentistry, Nagasaki University Hospital, Nagasaki, Japan.

Clinical Physiology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

出版信息

Spec Care Dentist. 2019 Jan;39(1):3-9. doi: 10.1111/scd.12335. Epub 2018 Nov 5.

Abstract

AIMS

Although it has been reported that general anesthesia affect the perioperative sleep cycle, no studies have yet evaluated how general anesthesia affects dentally disabled patients. In this study, we investigated the alteration of perioperative sleep cycles in dentally disabled patients receiving dental treatment under general anesthesia.

SUBJECTS AND METHODS

The study included 16 patients receiving dental procedures under general anesthesia. Using a sleep monitoring mat, the patients' sleep cycles were measured at home from 5 days before the scheduled surgery date until 5 days after discharge following general anesthesia. The change in all the variables of sleep cycles were analyzed in comparison to the value in preoperative period. Daily differences in these variables were assessed for statistical analysis.

RESULTS

The percentage of deep sleep (Stages 3 and 4) decreased significantly on postoperative day 1, and the percentage of light sleep increased. Furthermore, sleep cycles were significantly extended on postoperative day 1.

CONCLUSION

The percentage of deep sleep decreased significantly on postoperative day 1 while the percentage of light sleep increased. Sleep cycles were also significantly extended on postoperative day 1. These results reveal that the sleep cycle is somehow affected on the first day following general anesthesia.

摘要

目的

尽管已有报道称全身麻醉会影响围手术期睡眠周期,但尚无研究评估全身麻醉对牙列缺损患者的影响。在本研究中,我们调查了在全身麻醉下接受牙科治疗的牙列缺损患者围手术期睡眠周期的变化。

对象与方法

本研究纳入了16例在全身麻醉下接受牙科手术的患者。使用睡眠监测垫,在预定手术日期前5天至全身麻醉出院后5天在家中测量患者的睡眠周期。将睡眠周期所有变量的变化与术前值进行比较分析。对这些变量的每日差异进行统计学分析评估。

结果

术后第1天,深度睡眠(3期和4期)百分比显著下降,浅睡眠百分比增加。此外,术后第1天睡眠周期显著延长。

结论

术后第1天深度睡眠百分比显著下降,浅睡眠百分比增加。术后第1天睡眠周期也显著延长。这些结果表明,全身麻醉后的第一天睡眠周期受到了某种程度的影响。

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