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整体关节整形手术后,我们如何改善睡眠质量? 随机对照试验的系统审查

Pravarut Nithagon¹, Sanjeev Rampam, Terence L Thomas

¹From the Boston University Chobanian and Avedisian School of Medicine, Boston, MA (Nithagon, Rampam), the Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA (Thomas), and the Department of Orthopaedic Surgery, Boston University Medical Center, Boston, MA (Goh).

The Journal of the American Academy of Orthopaedic Surgeons

|September 10, 2024

概括

在全关节整形术 (TJA) 后的术后睡眠质量通常很差. 皮德姆,FICB + DEX和甲基prednisolone在关节整形术后改善睡眠,但对于膝关节整形术没有任何干预措施是有效的.

科学领域:

整形外科整形外科整形外科
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:

睡眠质量对于全关节整形术 (TJA) 后的恢复至关重要.
睡眠质量差是TJA后的常见问题,影响患者的结果.
确定有效的干预措施对于提高患者康复和满意度至关重要.

研究的目的:

系统地审查和评估术后干预措施,以改善TJA后的睡眠质量.
综合来自随机对照试验对TJA后睡眠质量改善的证据.

主要方法:

对PubMed和Scopus数据库的系统审查 (开始至2024年4月).
包括随机对照试验,评估TJA后的睡眠质量干预措施.
使用经过验证的尺度 (例如,匹兹堡睡眠质量指数) 提取睡眠结果.

主要成果:

包括7项涉及840名患者 (394名THA,446名TKA) 的试验.
对于关节整形手术 (THA),索尔皮德姆,腹膜 iliaca 隔间阻塞 (FICB) + 德克斯梅托米丁 (DEX) 和外科手术期间的甲基普雷迪尼索隆改善了睡眠质量.
局部使用的大麻素,局部使用的精油和黑激素对TJA后的睡眠质量没有显著的益处;对于全膝关节整形术 (TKA) 没有发现有效的干预措施.

结论:

皮,FICB + DEX和外科手术期间的甲基前尼索隆在THA后改善睡眠质量方面是有效的.
目前的证据不支持局部大麻,局部精油或黑激素用于改善TJA后的睡眠.
需要进一步的研究来确定TKA患者的有效睡眠干预措施,以提高患者的整体满意度.

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