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肩袖撕裂患者术前和术后睡眠质量评估

Preoperative and post-operative sleep quality evaluation in rotator cuff tear patients.

作者信息

Serbest Sancar, Tiftikçi Uğur, Askın Aydogan, Yaman Ferda, Alpua Murat

机构信息

Department of Orthopaedics and Traumatology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey.

Department of Anesthesiology and Reanimation, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2017 Jul;25(7):2109-2113. doi: 10.1007/s00167-016-4228-5. Epub 2016 Jul 11.

Abstract

PURPOSE

The aim of this study was to examine the potential relationship between subjective sleep quality and degree of pain in patients with rotator cuff repair.

METHODS

Thirty-one patients who underwent rotator cuff repair prospectively completed the Pittsburgh Sleep Quality Index, the Western Ontario Rotator Cuff Index, and the Constant and Murley shoulder scores before surgery and at 6 months after surgery. Preoperative demographic, clinical, and radiologic parameters were also evaluated.

RESULTS

The study analysed 31 patients with a median age of 61 years. There was a significant difference preoperatively versus post-operatively in terms of all PSQI global scores and subdivisions (p < 0.001). A statistically significant improvement was determined by the Western Ontario Rotator Cuff Scale and the Constant and Murley shoulder scores (p ˂ 0.001).

CONCLUSION

Sleep disorders are commonly seen in patients with rotator cuff tear, and after repair, there is an increase in the quality of sleep with a parallel improvement in shoulder functions. However, no statistically significant correlation was determined between arthroscopic procedures and the size of the tear and sleep quality. It is suggested that rotator cuff tear repair improves the quality of sleep and the quality of life.

LEVEL OF EVIDENCE

IV.

摘要

目的

本研究旨在探讨肩袖修复患者主观睡眠质量与疼痛程度之间的潜在关系。

方法

31例行肩袖修复术的患者在术前及术后6个月前瞻性地完成了匹兹堡睡眠质量指数、西 Ontario 肩袖指数以及 Constant 和 Murley 肩部评分。还评估了术前的人口统计学、临床和放射学参数。

结果

该研究分析了31例患者,中位年龄为61岁。术前与术后在所有匹兹堡睡眠质量指数总体评分及各分项评分方面均存在显著差异(p < 0.001)。西 Ontario 肩袖量表以及 Constant 和 Murley 肩部评分显示出统计学上的显著改善(p < 0.001)。

结论

肩袖撕裂患者中常见睡眠障碍,修复术后睡眠质量提高,同时肩部功能也有相应改善。然而,关节镜手术与撕裂大小和睡眠质量之间未确定有统计学意义的相关性。提示肩袖撕裂修复可改善睡眠质量和生活质量。

证据级别

IV级。

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