Division of Orthopedic Surgery, Duke University, Durham, NC, USA.
Division of Orthopedic Surgery, Duke University, Durham, NC, USA.
Orthop Clin North Am. 2023 Oct;54(4):397-405. doi: 10.1016/j.ocl.2023.05.008. Epub 2023 Jul 11.
Disorders of sleep are common after total hip and knee arthroplasty and may contribute to patient dissatisfaction and poorer outcomes in the early postoperative period. Multiple factors contribute to sleep disorders, including poorly controlled pain, opioid medication, perioperative stress, and anxiety. Both pharmacologic and nonpharmacologic methods have been used for perioperative sleep disorders, but there is no consensus on the optimal treatment.
全髋关节和膝关节置换术后睡眠障碍很常见，可能导致患者术后早期不满意和预后较差。多种因素可导致睡眠障碍，包括疼痛控制不佳、阿片类药物、围手术期应激和焦虑。围手术期睡眠障碍的治疗方法包括药物和非药物方法，但最佳治疗方法尚无共识。
