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选择性肩膀手术后的睡眠变化:一个系统性审查
Amir H Karimi1, Joshua Langberg2,3, Michael Allen Stone3
1Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Shoulder & elbow
|January 27, 2025
概括
肩部手术显著改善了患者的睡眠质量,这些患者因肩部病理而经历夜间疼痛. 虽然手术后睡眠质量有所改善,但睡眠质量可能不会完全恢复正常,这表明其他因素也会影响恢复.
科学领域:
- 整形外科手术 整形外科手术
- 睡眠医学 睡眠医学
- 疼痛管理 疼痛管理
背景情况:
- 由于肩部病理的夜间疼痛经常导致睡眠质量差.
- 在旋转手腕撕裂后,睡眠障碍影响高达89%的患者,往往导致手术转诊.
研究的目的:
- 系统地审查有关肩部手术对患者睡眠质量影响的文献.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 在对276篇初始文章进行选后,包括了12篇初级研究文章.
主要成果:
- 在12项研究中,共分析了1097名患者.
- 匹兹堡睡眠质量指数 (PSQI) 是最常见的评估工具.
- 手术前的平均PSQI为9.9 (表明睡眠不良),手术后6个月改善到5.4 (表明睡眠改善).
结论:
- 肩部手术可以改善肩部病理患者的睡眠质量.
- 手术后的睡眠质量可能不会恢复到正常范围,这表明还有其他因素.
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