Prospective Evaluation of Sleep Disturbances After Total Knee Arthroplasty

Prospective Evaluation of Sleep Disturbances After Total Knee Arthroplasty
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DOI:
10.1016/j.arth.2015.07.044
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发表时间:
2016-01-01
影响因子:
3.5
通讯作者:
Ong, Alvin C.
Ong, Alvin C.
中科院分区:
医学2区
文献类型:
--
作者:
Chen, Antonia F.;Orozco, Fabio R.;Ong, Alvin C.

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全膝关节置换术(TKA)术后6个月的睡眠障碍尚未研究。对34例原发性单侧TKA患者进行了术前至术后6个月的前瞻性研究。睡眠质量是用匹兹堡睡眠质量指数和爱普沃斯嗜睡量表来衡量的。疼痛以视觉模拟量表测量。术后前6周睡眠质量较基线恶化(P = .03),但在第3和6个月时有所改善(P = .003)。疼痛评分在所有时间点都比基线下降,睡眠质量和疼痛之间没有相关性。爱普沃斯嗜睡量表并没有随着时间的推移而改变。本研究可用于建议TKA患者预期最初的睡眠障碍在3个月后改善。(C) 2016 Elsevier Inc.版权所有。
Sleep disturbance after total knee arthroplasty (TKA) has not been studied 6 months after surgery. A prospective study was conducted on 34 primary, unilateral TKA patients preoperatively until 6 months postoperatively. Sleep quality was measured using the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale. Pain was measured on a visual analog scale. Sleep quality worsened from baseline during the first 6 weeks postoperatively (P = .03), but improved at 3 and 6 months (P = .003). Pain scores decreased from baseline over all time points, and there was no correlation between sleep quality and pain. The Epworth Sleepiness Scale did not change over time. This study can be used to counsel TKA patients to expect initial sleep disturbances that improve by 3 months. (C) 2016 Elsevier Inc. All rights reserved.