摘要
目的:研究日间手术不同时间对老年髋关节置换术患者术后客观睡眠质量的影响。方法:选取2021年3月至2023年3月英德市中医院收治的行髋关节置换术的老年患者80例作为研究对象,按照手术开始时间分为上午组(8:00~12:00)和下午组(12:01~18:00),每组40例。比较分析2组患者术后第1晚及术后第2晚的睡眠质量[总睡眠时长(TST)、快动眼睡眠(REM)、睡眠潜伏期(SL)、睡眠效率(SE)、浅睡眠及深睡眠时间、匹兹堡睡眠质量指数(PSQI)]、疼痛数字评分(NRS)及精神状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)]。结果:术后第1晚上午组TST、REM、SE、浅睡眠时长及深睡眠时长均高于对照组,且SL、PSQI评分低于下午组,差异均有统计学意义(均P<0.05);术后第2晚上午组及下午组TST、SL、SE、浅睡眠时长及深睡眠时长比较无差异,差异无统计学意义(P>0.05),上午组REM时长高于下午组,且PAQI评分低于下午组,差异均有统计学意义(均P<0.05);术后第1晚上午组运动NRS评分低于下午组,差异有统计学意义(P<0.05),2组患者静息状态NRS评分比较,差异无统计学意义(P>0.05);术后第2晚2组患者运动及静息状态NRS评分比较,差异无统计学意义(P>0.05);术后第1晚上午组SAS、SDS评分均低于下午组,差异均有统计学意义(均P<0.05);术后第2晚2组患者SAS、SDS评分比较,差异无统计学意义(P>0.05)。结论:上午手术相较于下午手术而言可以改善老年髋关节置换术患者睡眠质量、疼痛情况及精神状态。
Objective:To study the effect of different time of day operation on objective sleep quality in elderly patients after hip replacement.Methods:The clinical data of 80 elderly patients undergoing hip arthroplasty in Yingde Hospital of Traditional Chinese Medicine from March 2021 to March 2023 were selected and divided into morning group(8:00~12:00)and afternoon group(12:01~18:00)according to the operation start time,with 40 cases in each group.The sleep quality[total sleep duration(TST),rapid eye movement sleep(REM),sleep latency(SL),sleep efficiency(SE),light sleep and deep sleep,Pittsburgh Sleep Quality Index(PSQI)],pain number score(NRS)and mental state[Self-rating Anxiety Scale(SAS)and Self-rating Depressed Scale(SDS)]of the two groups were compared and analyzed on the first and second night after surgery.Results:On the first night after operation,TST,REM,SE,light sleep duration and deep sleep duration in the morning group were higher than those in the control group,and the scores of SL and PSQI were lower than those in the afternoon group(P s<0.05).On the second night after surgery,there were no differences in TST,SL,SE,light sleep duration and deep sleep duration between morning group and afternoon group(P s>0.05),REM duration in morning group was higher than that in afternoon group,and PSQI score was lower than that in afternoon group(P s<0.05).The NRS score of the morning group was lower than that of the afternoon group on the first night after surgery(P<0.05),and there was no difference in NRS score of resting state between the two groups(P>0.05).There were no differences in NRS scores of exercise and resting state between the two groups on the second night after operation(P>0.05).On the first night after operation,SAS and SDS scores in the morning group were lower than those in the afternoon group(P s<0.05).There was no difference in SAS and SDS scores between the two groups on the second night after operation(P s>0.05).Conclusion:Morning surgery can improve sleep quality,pain and mental status in elderly patients with hip replacement compared with afternoon surgery.
作者
陆友新
LU Youxin(The Second Department of Bone Injury,Yingde Hospital of Traditional Chinese Medicine,Yingde 513000,China)
出处
《世界睡眠医学杂志》
2023年第12期2822-2825,共4页
World Journal of Sleep Medicine
