术前改善患者睡眠：睡眠预适应的案例。

IF 2.9 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Annals of Nutrition and Metabolism Pub Date : 2025-08-20 DOI:10.1159/000547974

Daniel Sibley, Marc Sicova, Mandeep Singh, Ian Randall, Daniel Santa Mina

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引用次数: 0

摘要

睡眠健康包括睡眠的质量、数量和时间，并受到手术的负面影响。术前睡眠健康状况不佳与较差的手术结果相关，包括较高的发病率和住院时间。在这篇叙述性综述中，我们描述了术前睡眠干预或睡眠预适应以改善围手术期预后的基本原理和支持证据。我们的综述强调了睡眠健康受损与手术结果之间的联系，包括慢性系统性低度炎症；胰岛素抵抗;认知功能。分别讨论了测量和改善睡眠健康的仪器和干预策略。我们总结了睡眠康复建议，并确定了该领域的研究重点。

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Improving Patient Sleep before Surgery: The Case for Sleep Prehabilitation.

Background: Sleep health includes quality, quantity, and timing of sleep and is negatively affected by surgery. Poor preoperative sleep health is associated with worse surgical outcomes, including greater morbidity and hospital length of stay.

Summary: In this narrative review, we describe the rationale and supporting evidence for preoperative sleep interventions (i.e., sleep prehabilitation) to improve perioperative outcomes. Our review highlights the link between impaired sleep health and surgical outcomes via several mechanisms including chronic, systemic low-grade inflammation, insulin resistance, and cognitive function. Instruments and intervention strategies to measure and improve sleep health, respectively, are discussed.

Key messages: We conclude with sleep prehabilitation recommendations and identify research priorities for the field.

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来源期刊

Annals of Nutrition and Metabolism 医学-内分泌学与代谢

CiteScore

6.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Annals of Nutrition and Metabolism'' is a leading international peer-reviewed journal for sharing information on human nutrition, metabolism and related fields, covering the broad and multidisciplinary nature of science in nutrition and metabolism. As the official journal of both the International Union of Nutritional Sciences (IUNS) and the Federation of European Nutrition Societies (FENS), the journal has a high visibility among both researchers and users of research outputs, including policy makers, across Europe and around the world.