在全膝关节整形术后的中期功能能力和睡眠质量之间的相互作用:一项日本回顾性队列研究
Satoshi Hamai1,2, Satoru Harada3, Hidetoshi Tsushima3
1Department of Medical-Engineering Collaboration for Healthy Longevity, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan. hamai.satoshi.075@m.kyushu-u.ac.jp.
Scientific reports
|October 26, 2023
概括
在全膝关节整形术 (TKA) 后,睡眠障碍影响了超过一半的中期患者. 改善功能能力,而不是减少疼痛,显著提高TKA后的睡眠质量.
科学领域:
- 整形外科 整形外科 整形外科
- 睡眠医学 睡眠医学
- 康复 康复 康复 康复
背景情况:
- 膝关节整形术 (TKA) 后睡眠障碍很常见,但影响亚洲人群睡眠障碍的因素尚不清楚.
- 在TKA之后,关于睡眠质量的中期结果需要进一步调查.
研究的目的:
- 为了确定日本队列中TKA后中期睡眠障碍的频率.
- 为了确定影响TKA后睡眠质量的因素.
主要方法:
- 评估了一组209名日本患者 (平均年龄为77.1岁),患有膝关节关节炎,接受初级TKA治疗.
- 评估了睡眠质量 (匹兹堡睡眠质量指数),膝关节功能 (膝关节协会得分),关节意识 (遗忘关节得分-12) 和心理健康 (SF-12 MCS).
- 多变量分析确定了与睡眠质量相关的因素.
主要成果:
- 54%的参与者经历了睡眠障碍 (PSQI ≥5.5) 在TKA后平均4.5年.
- 多变量分析表明,更高的功能能力与改善的睡眠质量有显著联系 (p < 0.05).
- 功能能力下降,而不是残留的膝盖疼痛,被确定为影响睡眠质量的负面因素.
结论:
- 在TKA后的中期阶段,日本患者中睡眠障碍很普遍.
- 提高TKA后的功能能力对于改善睡眠质量至关重要,而不仅仅是管理残留疼痛.
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