重症患者的睡眠障碍现状、评估及干预措施

The current status,assessment,and intervention measures of sleep disorders in critically ill patients

由于环境因素、患者病情和干预措施等原因,重症患者往往存在生理节律紊乱、睡眠结构紊乱、睡眠质量下降和睡眠呼吸暂停等多种睡眠障碍问题,影响患者的临床结局。识别和评估重症患者是否存在睡眠障碍和睡眠障碍的类型,是对其进行干预的前提。本文主要介绍目前重症患者存在的睡眠障碍、可行的睡眠监测方式和干预手段。

Influenced by environmental factors,disease condition and intervention measures,critically ill patients often experience various sleep disorders like circadian rhythm disturbances,sleep archietecture change,decreased sleep quality,and sleep apnea,all of which can impact the clinical outcomes.Identifying and assessing the presence of sleep disorders and their types in critically ill patients are prerequisites for applying interventions.This article describes the current sleep disorders in critically ill patients,feasible methods for sleep monitoring,and interventions.