全膝关节置换术患者术前及术后睡眠质量评估。
An assessment of sleep quality in patients undergoing total knee arthroplasty before and after surgery.
作者信息
Er Mehmet Serhan, Altınel Elif Cihan, Altınel Levent, Erten Recep Abdullah, Eroğlu Mehmet
机构信息
Department of Orthopedics and Traumatology, Afyon Kocatepe University Faculty of Medicine, Afyonkarahisar, Turkey.
Vocational School of Health Services, Akdeniz University, Antalya, Turkey.
出版信息
Acta Orthop Traumatol Turc. 2014;48(1):50-4. doi: 10.3944/AOTT.2014.3163.
OBJECTIVE
The aim of this study was to compare the sleep quality of patients who underwent total knee arthroplasty before and after the surgery and analyze the effect of total knee arthroplasty on sleep quality.
METHODS
The study included 42 patients (32 females, 10 males) who underwent total knee arthroplasty for primary knee osteoarthritis. For each patient the preoperative 1 day and postoperative 3 months results of Pittsburgh Sleep Quality Index (PSQI) and 100-mm visual analogue scale (VAS) were compared.
RESULTS
The preoperative mean PSQI was 9. VAS score decreased in 97.6% of the patients, while sleep quality increased in 78.6%. 85.7% of the patients reported to have less episodes of pain related sleep disturbances. While both the PSQI and VAS improved after the surgery, there was no correlation between the parameters (p>0.05).
CONCLUSION
Our results suggested that total knee arthroplasty surgery relieves pain and improves sleep quality. The improvement in sleep quality does not appear to be related to pain relief.
目的
本研究旨在比较全膝关节置换术患者手术前后的睡眠质量，并分析全膝关节置换术对睡眠质量的影响。
方法
该研究纳入了42例因原发性膝关节骨关节炎接受全膝关节置换术的患者（32例女性，10例男性）。比较每位患者术前1天和术后3个月的匹兹堡睡眠质量指数（PSQI）及100毫米视觉模拟量表（VAS）结果。
结果
术前PSQI平均分为9分。97.6%的患者VAS评分降低，78.6%的患者睡眠质量提高。85.7%的患者报告与疼痛相关的睡眠障碍发作次数减少。虽然术后PSQI和VAS均有所改善，但各参数之间无相关性（p>0.05）。
结论
我们的结果表明，全膝关节置换术可缓解疼痛并改善睡眠质量。睡眠质量的改善似乎与疼痛缓解无关。
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