摘要譯文（供參考）

上午手術或下午手術對老年患者術后睡眠質量和褪黑素水平的影響：

一項前瞻性隨機研究

??目的：??

術后睡眠障礙不利于患者術后恢復。本研究旨在確定手術時間（上午與下午）對老年患者術后睡眠質量的影響，并分析手術時間與褪黑素水平變化之間的關系。

??方法：??

將60例接受髖關節(jié)手術的患者隨機分為上午組（M組）和下午組（A組）。

睡眠質量采用Richards Campbell睡眠問卷進行評估。

手術前后，在12小時內(nèi)收集夜間尿液，并測量6-硫氧基褪黑素濃度。

此外，還觀察了術后譫妄（POD）的發(fā)生率。

??結果：??

術后第1、2晚，A組患者的睡眠質量得分高于M組，術后第3晚兩組患者睡眠質量得分無差異（P=0.000，P=0.002，P>0.05）。

此外，在手術的第一晚，A組的尿液6-硫氧基褪黑素濃度高于M組（P=0.00）。

術后睡眠質量評分和尿6-硫氧基褪黑素濃度均顯著低于術前（P=0.00，P=0.00）。

??結論：??

老年全麻髖關節(jié)手術患者術后睡眠質量評分和褪黑素水平明顯低于術前。

此外，下午接受手術的患者的短期睡眠質量優(yōu)于早上接受手術的病人。

這種差異可能與手術后褪黑激素水平的短期變化有關。

??關鍵詞：??

褪黑素；睡眠質量；手術時機。

圖1 CONSORT流程圖。

圖2兩組患者術前和術后三天內(nèi)RCSQ評分的比較。

圖3手術前一晚、術后第一晚和第二晚各組6-SMT尿排泄量的比較。

????原文摘要????

The Impact of Morning Surgery or Afternoon Surgery on Postoperative Sleep Quality and Melatonin Levels of Elderly Patients:

 A Prospective, Randomized Study

??Objective:?? 

Postoperative sleep disturbance after surgery is not conducive to the recovery of patients. The purpose of this study was to determine the influence of the timing of surgery (morning vs afternoon) on the postoperative sleep quality of elderly patients and to analyze the relationship between the timing of surgery and the change in the melatonin level.

??Methods: ??

Sixty patients who received hip surgery were randomly assigned to the Morning Group (Group M) or the Afternoon Group (Group A). The sleep quality was assessed by the Richards-Campbell Sleep Questionnaire. Before and after surgery, the nocturnal urine was collected over a 12-h period, and the 6-sulfatoxymelatonin concentration was measured. Also, the incidence of postoperative delirium (POD) was observed.

??Results:?? 

On the first and second nights after surgery, the sleep quality scores of the patients in Group A were greater than those in Group M, and there was no difference in the sleep quality scores between the two groups on the third night after surgery (P=0.000, P=0.002, P>0.05, respectively). In addition, the urine 6-sulphatoxymelatonin concentration was found to be greater in Group A than in Group M on the first night of surgery (P=0.00). Both the postoperative sleep quality scores and urine 6-sulphatoxymelatonin concentration were significantly less than those before surgery (P=0.00, P=0.00).

??Conclusion: ??

The postoperative sleep quality scores and melatonin levels of elderly patients who received hip surgery under general anesthesia were significantly less than those of the patients before surgery. Furthermore, the short-term sleep quality of the patients who received surgery in the afternoon was better than that of the patients who received surgery in the morning. This difference may be related to the short-term change of the melatonin level after surgery.

??Keywords: ??

melatonin; sleep quality; timing of surgery.

Figure 1 The CONSORT flowchart.

Figure 2 Comparison of RCSQ scores before surgery and within three days after surgery between the two groups.

Figure 3 Comparison between groups of urinary excretion of 6-SMT during the night before surgery, and the first and second postoperative nights

本文由“健康號”用戶上傳、授權發(fā)布，以上內(nèi)容（含文字、圖片、視頻）不代表健康界立場?！敖】堤枴毕敌畔l(fā)布平臺，僅提供信息存儲服務，如有轉載、侵權等任何問題，請聯(lián)系健康界（jkh@hmkx.cn）處理。

相關知識

日間手術患者健康素養(yǎng)評估量表的構建與應用及其對早期術后恢復質量的影響
睡前玩手機最容易影響睡眠質量
術后如何恢復
大腿吸脂手術術后恢復期要注意什么
哪些睡覺習慣影響睡眠質量
孕產(chǎn)婦睡眠質量及產(chǎn)后睡眠的影響因素
手術后怎么樣快速恢復身體
24小時睡眠監(jiān)測：實時監(jiān)測睡眠質量的新方法
膝關節(jié)手術后恢復
睡眠環(huán)境對睡眠質量有什么影響？

網(wǎng)址: 手術時機：影響睡眠質量，甚至術后恢復？ http://www.u1s5d6.cn/newsview312385.html