经过全关节整形术的患者短期术后期睡眠障碍趋势
Nicholas L Pitaro1, Michael M Herrera, Husni Alasadi
1From the Leni and Peter W. May Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY (Pitaro, Herrera, Alasadi, Shah, Kiani, Stern, Zubizarreta, Chen, Hayden, Poeran, and Moucha), the Department of Population Health Science and Policy, Institute for Health Care Delivery Science, Icahn School of Medicine at Mount Sinai (Stern, Zubizarreta and Poeran), and the Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY (Poeran).
整体关节整形术患者在手术后经历了各种睡眠变化. 那些接受了关节置换和更糟糕的手术前睡眠的人在三个月后表现出更大的改善.
科学领域:
- 整形外科手术 整形外科手术
- 睡眠医学 睡眠医学
- 患者的治疗结果.
背景情况:
- 在接受全关节整形手术 (TJA) 的患者中,睡眠障碍很常见.
- 术后的短期睡眠模式尚不清楚.
- 一般睡眠质量在TJA后的六个月内得到改善.
研究的目的:
- 在TJA之后的三个月内,描述睡眠障碍模式.
- 在TJA后三个月确定与睡眠变化相关的临床和社会人口统计因素.
主要方法:
- 对从104名TJA患者前性收集的数据进行了回顾性分析.
- 在手术前和手术后的两周,六周和三个月内进行的PROMIS睡眠障碍调查问卷.
- 统计分析包括威尔科克森签名等级测试和多变量后勤回归.
主要成果:
- 睡眠正常的患者比例从手术前的54.8%增加到TJA后三个月的71.8%.
- 手术前睡眠正常的患者在两周后出现过渡性恶化.
- 患有中度/重度手术前睡眠障碍的患者在两周内显著改善,在三个月内持续.
- 关节整形术 (THA) 患者和手术前睡眠状况较差的患者在三个月后更有可能实现睡眠改善.
结论:
- 手术后的睡眠变化因手术前的睡眠状态而异.
- 与膝关节关节整形术患者相比,关节整形术患者报告睡眠改善3个月.
- 研究结果可以为患者咨询提供信息,并识别患有术后睡眠障碍的风险人群.
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