| 张丽娜,张艳阁,伍永权.手术和全身麻醉对髋关节置换病人睡眠 -觉醒时间影响的研究[J].安徽医药,2026,30(6):1222-1226. |
| 手术和全身麻醉对髋关节置换病人睡眠 -觉醒时间影响的研究 |
| Study on the effects of surgery and general anesthesia on sleep-awakening time in hip replacement patients |
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| DOI：10.3969/j.issn.1009-6469.2026.06.032 |
| 中文关键词: 睡眠觉醒障碍 手术后并发症 全身麻醉 髋关节置换手术 匹兹堡睡眠质量指数 |
| 英文关键词: Sleep wake disorders Postoperative complications General anesthesia Hip replacement surgery Pittsburgh sleep quality index |
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| 中文摘要: |
| 目的探讨手术和全身麻醉对髋关节置换病人术后睡眠 -觉醒时间的影响。方法前瞻性选择 2022年 1月至 2023年 3月在濮阳市中医院行髋关节置换手术的病人 84例作为手术组。在病人术前 3d和术后 7d对其进行问卷调查，对比分析调查对象在不同时间段的睡眠状况。结果病人睡眠 -觉醒状况术后 7d向非正常方向转化，量化后的相对改变率为［( .153).(.75)］(/ .153)×100%=50.98%。按绝对夜晚型、中度夜晚型、既不是清晨型也不是夜晚型、中度清晨型、绝对清晨型顺序而言，匹兹堡睡眠质量指数( PSQI)分项及总分水平均顺序降低，其中 PSQI总分依次为( 15.13±1.22)分、(14.41±1.35)分、(13.46±1.27)分、(8.27±0.88)分、(7.80±1.11)分。高龄、全身麻醉持续时间长、手术时间长、术中应用地塞米松是病人术后睡眠 -觉醒状态的不利影响因素(OR=1.83、2.02、2.55、1.57，均 P<0.05)。结论手术和全身麻醉扰乱了髋关节置换病人睡眠 -觉醒时间。 |
| 英文摘要: |
| Objective To investigate the effects of surgery and general anesthesia on postoperative sleep-wake time in hip replace. ment patients.Methods A prospective study selected 84 patients who underwent hip replacement surgery at Puyang Hospital of Tradi.tional Chinese Medicine between January 2022 and March 2023 as the surgical group. The patients were investigated by questionnairethree days before operation and seven days after operation, and the sleep status of the two groups in different time periods was com.pared and analyzed.Results The sleep wake status of the patients deteriorated at 7 d after operation, and the relative change rate afterquantification was [(.153).(.75)]/(.153)×100%=50.98%. In terms of absolute night type, moderate night type, neither early morningtype nor night type, moderate early morning type, and absolute early morning type, sleep quality (PSQI) sub item and total score leveldecreased sequentially. The total PSQI scores were as follows: 15.13±1.22, 14.41±1.35, 13.46±1.27, 8.27±0.88, and 7.80±1.11. Ad.vanced age, prolonged duration of general anesthesia, extended operative time, and intraoperative administration of dexamethasonewere adverse factors affecting patients' postoperative sleep-wake status (OR=1.83,2.02,2.55, and 1.57; all P<0.05).Conclusion Sur. gery and general anesthesia disturb the sleep-awakening time of hip replacement patients. |
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