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Treating sleep disturbances in patients with chronic pain

机译:治疗慢性疼痛患者的睡眠障碍

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EVERYONE WANTS TO SLEEP like a baby. But patients with chronic pain may sleep more like a baby's parents-fitfully. Often these patients find themselves in a vicious circle of increasing pain and sleeplessness, one amplifying the other.1 Patients with pain and sleeplessness typically display a constellation of symptoms, including hyposomnia, fatigue, chronic pain, and depression. If their pain isn't well controlled, they may try various medications and herbal preparations to help them sleep. Sorting out exactly what's behind a sleep disturbance is challenging. Medications taken to manage pain can be part of the problem. Acetaminophen is the only analgesic that doesn't alter the stages of sleep.2 Opioids prolong Stage 1 (light) sleep, and morphine has been shown to decrease the duration of deep sleep. In one trial, some nonsteroidal anti-inflammatory drugs increased the number of awakenings and delayed the onset of deeper stages of sleep.
机译:每个人都想像婴儿一样睡觉。但是,患有慢性疼痛的患者可能会更像婴儿的父母那样睡觉。这些患者常常发现自己处于痛苦和失眠加剧的恶性循环中,一个又一个加剧。1痛苦和失眠的患者通常表现出一系列症状,包括失眠,疲劳,慢性疼痛和抑郁。如果不能很好地控制疼痛,他们可以尝试各种药物和草药制剂以帮助他们入睡。确切地找出睡眠障碍背后的原因是具有挑战性的。解决疼痛的药物可能是问题的一部分。对乙酰氨基酚是唯一不会改变睡眠阶段的镇痛药。2阿片类药物可延长第一阶段(轻度)睡眠,而吗啡已被证明可减少深度睡眠的时间。在一项试验中,一些非甾体类抗炎药增加了清醒次数,并延迟了更深层睡眠的开始。

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