[1]宋亚男① 袁嫕② 张文超② 王庚② 李正迁① 郭向阳**①.上午/下午手术对老年髋部骨折患者术后睡眠的影响[J].中国微创外科杂志,2021,01(9):792-796.
　Song Yanan,Yuan Yi,Zhang Wenchao,et al.Effects of Morning/Afternoon Surgery on Postoperative Sleep Quality in Elderly Hip Fracture Patients[J].Chinese Journal of Minimally Invasive Surgery,2021,01(9):792-796.
点击复制

上午/下午手术对老年髋部骨折患者术后睡眠的影响()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2021年9期
页码:
792-796
栏目:
临床研究
出版日期:
2021-09-25

文章信息/Info

Title:
Effects of Morning/Afternoon Surgery on Postoperative Sleep Quality in Elderly Hip Fracture Patients
作者:
宋亚男① 袁嫕② 张文超② 王庚② 李正迁① 郭向阳**①
（北京大学第三医院麻醉科，北京100191）
Author(s):
Song Ya’nan①;  Yuan Yi②;  Zhang Wenchao②;  et al.
①Department of Anesthesiology, Peking University Third Hospital, Beijing 100191, China; ②Department of Anesthesiology, Beijing Jishuitan Hospital, Beijing 100035, China
关键词:
术后睡眠质量; 髋部骨折
Keywords:
Postoperative sleep quality; Hip fracture
文献标志码:
A
摘要:
目的探讨上午/下午手术对老年髋部骨折患者术后睡眠质量的影响。方法选取北京积水潭医院2019年4月~2020年6月年龄≥65岁的髋部骨折患者40例，按手术开始时间分为上午组及下午组，每组20例。比较2组术后睡眠及疼痛情况。结果与下午组相比，上午组手术当晚总睡眠时长、快动眼睡眠及浅睡眠均显著增加［(341.3±127.9) min vs. (214.7±89.9) min，t=2.326，P=0.027；48.5(23.5，59.8) min vs. 34.0(21.0，49.8) min，Z=-2.109，P=0.035；(246.3±85.9) min vs. (157.9±72.5) min，t=2.221，P=0.034］，术后第一晚快动眼睡眠、深睡眠显著增加［71.0(34.3，87.3) min vs. 36.0(19.0，53.3) min, Z=-2.600，P=0.009；47.5(39.0，69.3) min vs. 34.5(19.5，51.0)，Z=-2.538，P=0.011］。结论对于老年髋部骨折患者，上午接受手术较下午手术可增加术后睡眠时长。
Abstract:
ObjectiveTo compare the effect of morning/afternoon surgery on postoperative sleep quality in elderly patients undergoing hip surgery.MethodsA study was performed on 40 patients with hip fracture aged ≥ 65 years old from April 2019 to June 2020 in the Beijing Jishuitan Hospital. The patients were divided into morning group and afternoon group based on the start time of surgery (n=20 in each group). Postoperative sleep and pain were compared between the two groups.ResultsAs compared to the afternoon group, the total sleep time, rapideyemovement sleep time, and light sleep were significantly higher in the morning group in the night of surgery ［(341.3±127.9) min vs. (214.7±89.9) min, t=2.326, P=0.027; 48.5 (23.5, 59.8) min vs. 34.0 (21.0, 49.8) min, Z=-2.109, P=0.035; (246.3±85.9) min vs. (157.9±72.5) min, t=2.221, P=0034］, and there was a significantly longer rapideyemovement sleep time, and deep sleep time in the morning group in the night on the first postoperative day ［71.0 (34.3, 87.3) min vs. 36.0 (19.0, 53.3) min, Z=-2.600, P=0.009; 47.5 (39.0, 69.3) min vs. 34.5 (19.5, 51.0), Z=-2.538, P=0.011］.ConclusionFor elderly hip fracture patients, morning surgery can increase postoperative sleep duration as compared to afternoon surgery.

参考文献/References:

[1]Su X,Wang DX.Improve postoperative sleep:what can we do?Curr Opin Anesthesio,2018,31(1):83-88.
[2]Rampes S,Ma K,Divecha YA,et al.Postoperative sleep disorders and their potential impacts on surgical outcomes.J Biomed Res,2019,34(4):271-280.
[3]Song B,Li Y,Teng X,et al.Comparison of morning and evening operation under general anesthesia on intraoperative anesthetic requirement,postoperative sleep quality,and pain:a randomized controlled trial.Nat Sci Sleep,2020,12:467-475.
[4]管青兰,盛飞,郁志华,等.MMSE与MoCA评价社区老年人认知功能的差异分析.中西医结合心脑血管病杂志,2021,19(9):1577-1580.
[5]廖金敏,王希林.谵妄评估工具的研究现状.中华老年多器官疾病杂志,2012,11(11):878-880.
[6]郑棒,李曼,王凯路,等.匹兹堡睡眠质量指数在某高校医学生中的信度与效度评价.北京大学学报（医学版）,2016,48(3):424-428.
[7]魏魏,陶一众,乐嘉宜,等.2型糖尿病合并高血压患者睡眠质量调查分析.中华临床医师杂志（电子版）,2015,9(14):2673-2676.
[8]荆警提,张卫红,孙勇,等.老年患者髋部骨折术后疲劳综合征的相关因素.中国老年学杂志,2019,39(15):3803-3805.
[9]马黎娜,聂煌,季刚,等.可穿戴监测设备用于术后患者活动和睡眠监测的准确性.中华麻醉学杂志,2020,40(10):1232-1236.
[10]李春蕊,张雯,樊碧发.数字评分法(NRS)与口述评分法(VRS)在老年慢性疼痛患者中的比较.中国疼痛医学杂志,2016,22(9):683-686.
[11]Veronese N,Maggi S.Epidemiology and social costs of hip fracture.Injury,2018,49(8):1458-1460.
[12]Chen M,Zhang Y,Du Y,et al.Epidemiological and clinical study of hip fracture in hospitalized elderly patients in Shanghai,China.Arch Osteoporos,2019,14(1):37.
[13]Zhang CG,Feng JN,Wang SF,et al.Incidence of and trends in hip fracture among adults in urban China:a nationwide retrospective cohort study.Plos Med,2020,17(8):e1003180.
[14]田紫竹,庞冬,刘昊楠,等.加速康复外科在老年股骨颈骨折人工股骨头置换患者围手术期中的应用研究.中华医学杂志,2020,100(37):2903-2907.
[15]吴新宝,杨明辉,张萍,等.老年病科和骨科共管模式缩短老年髋部骨折患者术前等待时间和住院时间.骨科临床与研究杂志,2017,2(2):96-100.
[16]Luo M,Song B,Zhu J.Sleep disturbances after general anesthesia:current perspectives.Front Neurol,2020,11:629.
[17]Wang B,Yao Y,Wang X,et al.The start of gastrectomy at different timeofday influences postoperative outcomes.Medicine (Baltimore),2020,99(21):e20325.
[18]Halvachizadeh S,Teuber H,Cinelli P,et al.Does the time of day in orthopedic trauma surgery affect mortality and complication rates?Patient Saf Surg,2019,13:8.
[19]Gilani S,Bhattacharyya N.Revisit rates for pediatric tonsillectomy:an analysis of admit and discharge times.Ann Otol Rhinol Laryngol,2020,129(2):110-1104.
[20]Montaigne D,Marechal X,Modine T,et al.Daytime variation of perioperative myocardial injury in cardiac surgery and its prevention by RevErbα antagonism:a singlecentre propensitymatched cohort study and a randomised study.Lancet,2018,391(10115):59-69.
[21]Zhu X,Lu Q,Yao Y,et al.Intraoperative pain sensation during cataract surgery:why does timing matter?Curr Eye Res,2020 Dec 15.Online ahead of print.
[22]Chouchou F,Khoury S,Chauny JM,et al.Postoperative sleep disruptions:a potential catalyst of acute pain?Sleep Med Rev,2014,18(3):273-282.

备注/Memo

备注/Memo:
基金项目：国家自然科学基金(82071189，81873726，81971012)**通讯作者，Email：puthmzk@hsc.pku.edu.cn ①（北京大学第三医院麻醉科，北京100191）②（北京积水潭医院麻醉科，北京100035)
更新日期/Last Update: 2021-12-09