约翰·恩·英萨尔奖:膝关节整形术后,黑素能改善主观睡眠质量吗? 一个随机的,安慰剂控制的试验
Drake G LeBrun1, Jacqueline Grubel1, Justin Ong1
1Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, New York, New York.
The Journal of arthroplasty
|January 18, 2024
概括
黑素在全膝关节整形术 (TKA) 后没有改善睡眠质量或患者的结果. 睡眠不足与功能和疼痛的恶化有关,但黑激素并没有改变这种关系.
科学领域:
- 整形外科手术 整形外科手术
- 睡眠医学 睡眠医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 睡眠障碍是全膝关节整形术 (TKA) 后的常见并发症.
- 研究改善TKA后睡眠质量的干预措施对于患者的康复至关重要.
研究的目的:
- 评估外源性黑激素在初级TKA后改善睡眠质量的疗效.
- 评估黑激素对患者报告的结果措施 (PROM) 和TKA后的其他临床结果的影响.
主要方法:
- 一个随机,双盲,安慰剂对照试验,涉及172名接受初级TKA的患者.
- 参与者每晚接受5毫克的黑激素或6周的维生素C安慰剂.
- 主要结局:6周和90天后的匹兹堡睡眠质量指数 (PSQI);次要结局:PROM,疼痛评分和再入院.
主要成果:
- 在TKA后6周或90天内,黑色素和安慰剂组之间的PSQI得分没有显著差异.
- 与安慰剂相比,黑素没有改善PROM,疼痛或身体/精神成分得分.
- 在药物使用,遵守,不良事件或再录取方面没有观察到差异.
结论:
- 外源性黑激素补充剂没有改善TKA后的主观睡眠质量或PROMs.
- 睡眠质量差与患者功能和疼痛的恶化相关,独立于黑激素的使用.
- 目前的证据不支持在接受TKA的患者中常规使用黑激素.
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