Changes in sleep-wake rhythms, subjective sleep quality, and pain among patients undergoing total hip arthroplasty.
Changes in sleep-wake rhythms, subjective sleep quality, and pain among patients undergoing total hip arthroplasty.
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接受全髋关节置换术的患者睡眠-觉醒节律、主观睡眠质量和疼痛的变化。
DOI：
10.1111/ijn.12345
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Tabuchi Y
中科院分区：
文献类型：
--
作者：
Myoji Y;Fujita K;Mawatari M;Tabuchi Y
我们评估了34例在脊髓麻醉下进行全髋关节置换术的患者（平均年龄：61.9岁; 82.4%为女性）术后第一个晚上与术前相比的夜间睡眠-觉醒节律和主观睡眠质量。我们还研究了与术后睡眠障碍相关的次要因素。患者在术前期间和术后第一个晚上佩戴加速计（活动记录仪）以跟踪睡眠-觉醒节律。次要终点为术后疼痛和腰痛。通过体动记录仪客观测量睡眠参数，通过Oguri-Shirakawa-Azumi睡眠量表（中年和老年版）测量主观睡眠质量，发现术后睡眠质量显著恶化。活动图数据显示，实际睡眠时间从术前353.7 ± 121.2 min减少至术后263.8 ± 104.4 min。数据表明，正常的连续睡眠时间对患者的愈合和健康很重要，术后睡眠障碍与腰痛的相关性大于术后疼痛。
We evaluated nocturnal sleep–wake rhythms and subjective sleep quality on the first postoperative night compared with the preoperative night in 34 patients who had total hip arthroplasty (mean age: 61.9 years; 82.4% female) under spinal anaesthesia. We also examined secondary factors related to sleep disturbances after surgery. Patients wore an accelerometer (actigraph) during the preoperative period and the first postoperative night to track sleep–wake rhythms. Secondary end‐points were postsurgical pain and low back pain. Sleep parameters were measured objectively by actigraphy, and subjective sleep quality was measured by the Oguri–Shirakawa–Azumi Sleep Inventory, Middle‐Aged and Aged Version and found to worsen significantly after surgery. Actigram data showed a reduction in actual sleep time from 353.7 ± 121.2 min preoperatively to 263.8 ± 104.4 min postoperatively. The data indicate that normalized continuous sleep time is important for patient healing and well‐being and that postoperative sleep disturbance is related to low back pain more than to postsurgical pain.