在被诊断患有骨关节炎的人群中,睡眠障碍和睡眠质量:系统性审查和元分析
Ansuman Panigrahi1, Priyanka Sahu1, Swati Sambita Mohanty1
1ICMR-Regional Medical Research Centre, Bhubaneswar, Odisha, India.
Frontiers in medicine
|December 5, 2025
概括
膝盖和/或关节骨关节炎 (KHOA) 患者的睡眠质量明显降低,主要是由于疼痛和抑郁症. 针对身体和心理健康的综合护理对于管理KHOA和改善睡眠至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 睡眠医学 睡眠医学
- 类风湿病学 类风湿病学
背景情况:
- 骨关节炎 (OA) 是慢性疼痛和运动问题的主要原因,特别是在承重关节.
- 虽然OA的身体限制是众所周知的,但它对睡眠质量和干扰的影响正在引起人们的注意.
- 膝盖和/或关节骨关节炎 (KHOA) 的整体治疗需要了解其对睡眠的影响.
研究的目的:
- 系统地审查和综合有关KHOA患者睡眠障碍和睡眠质量的现有证据.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 在主要数据库 (Medline,EMBASE,Scopus等) 进行的搜索. 和灰色的文学.
- 在对KHOA患者睡眠相关结果进行查后,包括了17项研究.
主要成果:
- 抑郁和疼痛水平升高显著导致KHOA的睡眠障碍.
- 分析结果显示,KHOA患者的睡眠质量明显降低 (PSQI得分:8.53,95% CI:7.18-9.87,p < 0.0001).
- 在包括的研究中观察到实质性的异质性 (I2 = 94.96%).
结论:
- 患有KHOA的个体经历了睡眠质量明显受损,受疼痛和心理因素的影响.
- 研究结果强调需要整合的临床策略来解决OA症状,睡眠和心理健康问题.
- 这项研究强调了KHOA和睡眠障碍之间的关键联系,倡导全面的患者护理.
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