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关节镜肩袖修复术对退行性全层撕裂患者睡眠的影响。

The effect of arthroscopic rotator cuff repair on sleep in degenerative full-thickness tears.

机构信息

Department of Orthopedics and Traumatology, Medical School of Alaaddin Keykubat University, Alanya, Antalya, Turkey.

出版信息

Niger J Clin Pract. 2022 Aug;25(8):1344-1347. doi: 10.4103/njcp.njcp_219_22.

Abstract

AIMS AND BACKGROUND

Shoulder pathologies are frequently linked to sleep disturbances. The aim of this study is to investigate the effect on sleep disorders in patients with arthroscopic rotator cuff repair.

MATERIALS AND METHODS

Thirty-three patients who underwent arthroscopic rotator cuff repair due to a full-thickness rotator cuff tear were prospectively analyzed. The Pittsburgh Sleep Quality Index (PSQI), the American Shoulder and Elbow Surgeons Shoulder Score (ASES), visual analog scale (VAS), and Constant and Murley shoulder scores before surgery and at 6 months postoperatively. Preoperative clinical and radiological parameters of the patients were also evaluated.

RESULTS

The study analyzed 33 patients with a median age of 59.79 ± 9.0 years. There was a significant difference preoperatively versus postoperatively in terms of all PSQI global scores and subdivisions (P < 0.001). A statistically significant improvement was determined by the simple shoulder test, the Constant and Murley shoulder scores, and VAS (P < 0.001).

CONCLUSION

Sleep disturbance is common in patients with symptomatic rotator cuff tear, and sleep disturbance can resolve after arthroscopic rotator cuff repair.

摘要

目的和背景

肩部病变常与睡眠障碍有关。本研究旨在探讨关节镜肩袖修复术对肩袖全层撕裂患者睡眠障碍的影响。

材料和方法

前瞻性分析了 33 例因肩袖全层撕裂而行关节镜肩袖修复的患者。在术前和术后 6 个月分别采用匹兹堡睡眠质量指数(PSQI)、美国肩肘外科医生肩评分(ASES)、视觉模拟评分(VAS)和康斯坦特和默利肩评分进行评估。还评估了患者术前的临床和影像学参数。

结果

本研究共分析了 33 例患者,中位年龄为 59.79±9.0 岁。PSQI 总分及各分项在术前与术后比较差异均有统计学意义(P<0.001)。简单肩测试、康斯坦特和默利肩评分和 VAS 均显示出统计学意义上的显著改善(P<0.001)。

结论

症状性肩袖撕裂患者常存在睡眠障碍,关节镜肩袖修复后睡眠障碍可得到缓解。

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