Department of Orthopedics Surgery, The Baoding No.1 Central Hospital, Hebei, P. R. China.
Department of Anesthesiology, The Baoding No.1 Central Hospital, Hebei, P. R. China.
Medicine (Baltimore). 2024 Sep 27;103(39):e39841. doi: 10.1097/MD.0000000000039841.
Recent studies have reported a prevalence of sleep disturbance in patients undergoing arthroscopic rotator cuff repair. The purpose of our study was to explore patient-reported factors correlated with sleep disturbance in patients with arthroscopic rotator cuff repair. We retrospectively evaluated 133 patients who underwent arthroscopic rotator cuff repair for 6 months. We obtained the Pittsburgh Sleep Quality Index (PSQI) scores, the visual analog scale (VAS) pain score, the University of California-Los Angeles Shoulder Rating Scale score (UCLA score), the Hospital Anxiety and Depression Scale (HADS), and patient demographics. According to the PSQI scores, participants were divided into a sleep disorder group (A group, PSQI ≥5) and a normal sleep group (B group, PSQI <5). Statistical analyses included Student t test, Mann-Whitney U test, chi-square test, and binary logistic regression analysis to determine which patient-reported factors were associated with sleep disturbance. The mean VAS, UCLA score, UCLA Flexion, HADS-Anxiety (HADS-A), and HADS-Depression (HADS-D) scores in group A were 3.54, 26.36, 3.25, 5.43, and 5.93, respectively; in group B, the mean scores were 1.49, 30.72, 4.50, 2.11, and 1.79, respectively. There were statistically significant differences in the VAS, UCLA, UCLA Flexion, HADS-A, HADS-D scores between the 2 groups (P < .05). In the categories of sex, age, body mass index, and tear size, there was no statistical significant difference between the 2 groups. (P > .05). HADS-D and UCLA Flexion were independent factors affecting sleep disturbance after arthroscopic rotator cuff repair at 6 months (P < .05). Our study demonstrated that patients with sleep disturbances after arthroscopic shoulder surgery had a close relationship with the HADS-D, UCLA Flexion scores and had more pain, more dysfunction, and more pronounced psychological abnormalities. Therefore, more emphasis on psychotherapy and rehabilitation is required for patients with sleep disturbance.
最近的研究报告称，接受关节镜肩袖修复的患者中存在睡眠障碍的患病率。我们研究的目的是探讨与关节镜肩袖修复患者睡眠障碍相关的患者报告因素。我们回顾性评估了 133 例接受关节镜肩袖修复的患者，随访时间为 6 个月。我们获得了匹兹堡睡眠质量指数（PSQI）评分、视觉模拟评分（VAS）疼痛评分、加利福尼亚大学洛杉矶分校肩评分量表（UCLA 评分）、医院焦虑和抑郁量表（HADS）以及患者人口统计学资料。根据 PSQI 评分，参与者被分为睡眠障碍组（A 组，PSQI≥5）和正常睡眠组（B 组，PSQI<5）。统计分析包括学生 t 检验、Mann-Whitney U 检验、卡方检验和二元逻辑回归分析，以确定哪些患者报告的因素与睡眠障碍相关。A 组的平均 VAS、UCLA 评分、UCLA 伸展、HADS-焦虑（HADS-A）和 HADS-抑郁（HADS-D）评分分别为 3.54、26.36、3.25、5.43 和 5.93；B 组的平均评分分别为 1.49、30.72、4.50、2.11 和 1.79。两组之间 VAS、UCLA、UCLA 伸展、HADS-A 和 HADS-D 评分存在统计学差异（P<0.05）。两组之间在性别、年龄、体重指数和撕裂大小的分类中没有统计学差异（P>0.05）。（P>.05）。HADS-D 和 UCLA 伸展是影响关节镜肩袖修复后 6 个月睡眠障碍的独立因素（P<0.05）。我们的研究表明，关节镜手术后出现睡眠障碍的患者与 HADS-D、UCLA 伸展评分密切相关，并且疼痛更明显、功能障碍更明显、心理异常更明显。因此，需要更加重视睡眠障碍患者的心理治疗和康复。
