髋关节和膝关节置换术后睡眠模式的改善：780 例患者的前瞻性研究。
Improvement in Sleep Patterns After Hip and Knee Arthroplasty: A Prospective Study in 780 Patients.
机构信息
North Sydney Orthopaedic & Sports Medicine Centre, Sydney, New South Wales, Australia.
North Sydney Orthopaedic & Sports Medicine Centre, Sydney, New South Wales, Australia; School of Medicine, University of Notre Dame, Sydney, New South Wales, Australia.
出版信息
J Arthroplasty. 2021 Feb;36(2):442-448. doi: 10.1016/j.arth.2020.08.056. Epub 2020 Sep 1.
BACKGROUND
This study assessed change in sleep patterns before and after total hip arthroplasty (THA) and total knee arthroplasty (TKA) and its relationship to patient-reported outcome measures (PROMs).
METHODS
Between July 2016 and June 2018, surgical data and PROMs were collected on 780 subjects before and 12 months after THA or TKA. PROMs included Knee Injury and Osteoarthritis Outcome Score, Hip Disability and Osteoarthritis Outcome Score, patient satisfaction, and 2 questions from the Pittsburgh Sleep Quality Index.
RESULTS
Before surgery, 35% (270 of 780) reported poor quality sleep. Sleep quality and duration were worse in females over males, and in THA patients (39%) over TKA patients (30%; P = .011). Of those reporting bad sleep, 74% (201 of 270) were improved after arthroplasty. Satisfaction was higher in subjects reporting good sleep quality (626 of 676; 93%) compared with those reporting bad sleep quality (67 of 86; 78%) (P = .001). Sleep was positively correlated with better Hip Disability and Osteoarthritis Outcome Score/Knee Injury and Osteoarthritis Outcome Score (r = 0.2-0.3).
CONCLUSION
Improvement in sleep quality and duration can be expected after THA and TKA and is associated with better outcome scores and satisfaction.
背景
本研究评估了全髋关节置换术（THA）和全膝关节置换术（TKA）前后睡眠模式的变化及其与患者报告的结果测量（PROM）的关系。
方法
在 2016 年 7 月至 2018 年 6 月期间，对 780 例接受 THA 或 TKA 治疗的患者进行了手术数据和 PROM 的收集，分别在术前和术后 12 个月进行。PROM 包括膝关节损伤和骨关节炎结果评分（Knee Injury and Osteoarthritis Outcome Score）、髋关节残疾和骨关节炎结果评分（Hip Disability and Osteoarthritis Outcome Score）、患者满意度以及匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index）中的 2 个问题。
结果
术前，35%（780 例中的 270 例）报告睡眠质量差。女性的睡眠质量和时间均差于男性，THA 患者（39%）差于 TKA 患者（30%）（P = 0.011）。在报告睡眠质量差的患者中，74%（270 例中的 201 例）在关节置换术后得到改善。报告睡眠质量好的患者的满意度（676 例中的 626 例；93%）高于报告睡眠质量差的患者（86 例中的 67 例；78%）（P = 0.001）。睡眠与更好的髋关节残疾和骨关节炎结果评分/膝关节损伤和骨关节炎结果评分呈正相关（r = 0.2-0.3）。
结论
THA 和 TKA 后睡眠质量和时间可以得到改善，并且与更好的结果评分和满意度相关。
Zotero 插件