手术前的睡眠模式及其对全关节和膝关节置换结果的影响:一项观察性研究
Yousif Mohamed1,2, Conor O'Driscoll1,2, Madalena Nina Rente1,2
1Orthopedics, University Hospital Waterford, Waterford, IRL.
Cureus
|May 15, 2025
概括
手术前的睡眠质量没有显著影响全面关节置换 (TJR) 后的早期疼痛或恢复. 需要进一步的研究来了解睡眠.
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:
- 确定可修改的术前风险因素对于改善全关节置换 (TJR) 后的结果至关重要.
- 研究术前睡眠模式对早期术后疼痛和恢复的影响是必不可少的.
研究的目的:
- 为了确定通过匹兹堡睡眠质量指数 (PSQI) 评估的手术前睡眠质量是否会影响疼痛,阿片类药物消耗,移动性和全关节置换 (THR) 和全膝关节置换 (TKR) 后的住院.
主要方法:
- 一项前性观察性研究,涉及接受选择性THR或TKR的患者.
- 手术前的睡眠质量使用匹兹堡睡眠质量指数 (PSQI) 来衡量.
- 手术后的结果包括疼痛水平,口服吗啡消耗,流动性 (使用拐杖,移床) 和住院时间.
主要成果:
- 在手术前的PSQI得分和关键的术后结果 (疼痛,移动性,吗啡使用,住院) 之间没有发现统计学意义上的关联.
- 在THR患者的PSQI得分和住院期间之间观察到微弱的正相关性 (r = 0.223,p = 0.082).
- 女性THR患者报告了较高的早期术后疼痛和较差的术前睡眠质量.
结论:
- 通过PSQI测量,手术前的睡眠卫生似乎不会影响TJR后的手术后恢复.
- 睡眠质量可能在长期康复中发挥作用,这需要进一步研究.
- 疼痛感知和睡眠质量的性别差异在TJR康复中需要考虑.
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