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右美托咪定对阻塞性睡眠呼吸暂停患者治疗效果观察OA

Observation on the Therapeutic Effect of Dexmedetomidine in Patients with Obstructive Sleep Apnea

中文摘要英文摘要

目的:结合临床实践经验,探讨右美托咪定对阻塞性睡眠呼吸暂停患者的治疗效果.方法:选取2022年5月至2025年1月北京中医医院怀柔医院收治的阻塞性睡眠呼吸暂停患者86例作为研究对象,采用信封法分为对照组和观察组,每组43例.对照组静脉滴注生理盐水,观察组患者采用右美托咪定进行麻醉诱导和麻醉维持.采用视觉模拟评分法(VAS)评估患者术后不同时段疼痛程度,采用匹兹堡睡眠质量指数(PSQI)评价治疗前后2组患者的睡眠质量,并比较2组患者不良反应发生情况.结果:观察组患者术后4 h、48 hVAS评分比较,差异无统计学意义(P>0.05);观察组术后12 h、24 hVAS评分显著低于对照组,差异有统计学意义(P<0.001);观察组患者术后各项睡眠质量PSQI评分显著低于对照组,差异有统计学意义(P<0.05);术后,2组患者不良反应发生率比较,差异无统计学意义(P>0.05).结论:右美托咪定可减轻阻塞性睡眠呼吸暂停患者疼痛程度,改善睡眠质量,安全性高,值得进一步推广应用.

Objective:To investigate the therapeutic effect of dexmedetomidine in patients with obstructive sleep apnea based on clinical practice experience.Methods:A total of 86 patients with obstructive sleep apnea admitted to Huairou Hospital of Beijing Traditional Chinese Medicine Hospital from May 2022 to January 2025 were selected as the study subjects.They were divided into a control group and an observation group using the envelope procurement method,with 43 patients in each group.The control group received intravenous infusion of physiological saline,while the observation group received dexmedetomidine for anesthesia induction and maintenance.Visual Analog Scale(VAS)was used to assess the degree of pain in patients at different time points after surgery.Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality of two groups of patients before and af-ter treatment,and the incidence of adverse reactions was compared between the two groups of patients.Results:There was no sta-tistically significant difference in VAS scores between the observation group patients at 4 hours and 48 hours after surgery(P>0.05);The VAS scores of the observation group were significantly lower than those of the control group at 12 and 24 hours after surgery,and the difference was statistically significant(P<0.001);The PSQI scores of postoperative sleep quality in the observa-tion group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05);There was no statistically significant difference in the incidence of adverse reactions between the two groups after surgery(P>0.05).Conclusion:Dexmedetomidine can alleviate the pain,improve sleep quality in patients with obstructive sleep apnea,and has a high safety profile,warranting further promotion and application.

廖春英;杨同文;崔丽娜

北京中医医院怀柔医院麻醉科,北京,101400北京中医医院怀柔医院麻醉科,北京,101400北京中医医院怀柔医院麻醉科,北京,101400

医药卫生

阻塞性睡眠呼吸暂停右美托咪定麻醉诱导生理盐水VAS评分睡眠质量不良反应应用效果

Obstructive sleep apneaDexmedetomidineAnesthesia inductionNormal salineVAS scoreSleep qualityAd-verse reactionsApplication effect

《世界睡眠医学杂志》 2026 (1)

32-34,38,4

10.3969/j.issn.2095-7130.2026.01.010

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