睡眠障碍与脊柱外科手术术术后结果的相关性:叙述性综述
Joseph E Nassar1, Manjot Singh1, Ashley Knebel1
1Department of Orthopaedic Surgery, Brown University, Providence, RI, United States.
睡眠障碍会对脊柱手术恢复产生负面影响,增加疼痛和康复延迟. 解决这些问题对于改善患者的治疗结果和减少并发症至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 睡眠医学 睡眠医学
- 外科手术的结果
背景情况:
- 良好的睡眠卫生对于健康至关重要,但睡眠障碍影响近30%的成年人.
- 睡眠障碍与健康状况不佳和手术并发症增加有关.
- 睡眠障碍对脊柱手术结果的影响尚不清楚.
研究的目的:
- 调查睡眠相关疾病与脊柱病理之间的相关性.
- 分析睡眠障碍对脊柱手术患者手术后结果的影响.
主要方法:
- 在PubMed,Embase和Scopus数据库中进行文献搜索.
- 确定了报告睡眠障碍及其与脊柱状况和手术结果相关的研究.
主要成果:
- 睡眠障碍加剧全身炎症,损害组织修复,并导致荷尔蒙失调,对脊柱健康和恢复产生负面影响.
- 未经治疗的睡眠障碍患者报告疼痛水平较高,康复速度较慢,对止痛药的依赖性增加.
- 睡眠障碍的有效管理表明,它有望改善手术后的临床和功能结果.
结论:
- 管理睡眠障碍对于优化脊椎手术患者的治疗结果至关重要.
- 未来的研究应该集中在前性研究和整合术后睡眠护理策略上.
- 综合性睡眠管理可以最大限度地减少并发症,并改善脊柱手术后的康复.
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