术前睡眠质量对老年患者无痛结肠镜检查术中丙泊酚用量的影响*

Impact of preoperative sleep quality on Propofol dosage in elderly patients who underwent painless colonoscopy*

摘要:

摘要：目的??评估术前睡眠质量对老年患者无痛结肠镜检查术中丙泊酚用量的影响。方法 择期行无痛结肠镜检查术患者60例，年龄65～76岁，美国麻醉医师协会（ASA）分级Ⅱ～Ⅲ级。术前根据匹兹堡睡眠质量指数（PSQI）诊断有无睡眠障碍，其中，PSQI≥5分为睡眠障碍；PSQI??0.05）。术中OAA/S评分、呼吸抑制、体动反应、腹痛和恶心呕吐等发生情况和检查结束至进入恢复室的时间及VAS评分结果在两组患者间差异无统计学意义（P?>?0.05）。与睡眠障碍组比较，睡眠正常组结肠镜检查后苏醒时间明显缩短（P??0.05）。两组患者术后胃肠功能指标差异均无统计学意义（P?>?0.05）。结论 术前睡眠障碍可明显增加老年患者无痛结肠镜检查术中的丙泊酚用量，并延缓患者麻醉苏醒。

Abstract:

Abstract: Objective?To evaluate the impact of preoperative sleep quality on Propofol dosage in elderly patients who underwent painless colonoscopy.?Methods?60 patients scheduled for painless colonoscopy, aged 65?~?76 years and with the American Society of Anesthesiologists (ASA) classification Ⅱ?~?Ⅲ grade, were recruited into the trial. Before the operation, the Pittsburgh Sleep Quality Index (PSQI) was used to diagnose the presence or absence of sleep disorders. Among them, PSQ?≥?5 was divided into sleep disorders; PSQI??0.05). Intraoperative OAA/S score, the rate of respiratory depression, physical activity, abdominal pain, nausea and vomiting during operation, and the time interval from the end of the examination to the recovery room and the VAS score were not significantly different between the two groups (P?>?0.05). Compared with the sleep disorder group, the wake-up time after colonoscopy was significantly shortened (P??0.05). There was no statistical significance (P?>?0.05) in the indexes of postoperative gastrointestinal function.?Conclusion?Preoperative sleep disorders can effectively increase the dosage of Propofol in elderly patients who underwent painless colonoscopy and prolong the recovery of elderly patients.