基于加速康復(fù)外科的體位及疼痛管理對髖關(guān)節(jié)置換術(shù)后失眠患者的影響

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AbstractObjective：Toanalyzetheeffectof positionand pain management basedonenhancedrecoveryaftersurgery（ERAS） onsleepqualityinpatients withinsomniaafterhipeplacement.Methods：AtotalofO4patientshohdinsomniaafterundergo ing hipreplacementinthe hospitalfromApril2O23 toApril2024 were selectedandequallydividedinto two groupsaccording to stratifiedsampling method.Afterthesurgery，thecontrolgroupeceivedpositionandpainmanagementhiletheobservationgroup receivedERAS-basedpositionandpain management.Both groupsweregiven interventiontilldischarge.Pitsburgh SleepQuality Index（PSQI）score was used to evaluate sleepqualityand Visual Analogue Scale（VAS）score was applied to measure postoperative pain.Postoperativerecoveryof thetwo groups wascompared.Results：PSQIandVAS scores oftheobservation groupone-day and 3-day after the surgery were lower than those of the control group，with statisticall significant diferences（ P<0.05 ）. The observationgrouphadashorter hospitalstay，initial timeformovementandtimetopost-surgicaldischargethanthecontrolgroup， and the difference was statistically significant（ P<0.05 ） . Conclusion： ERAS-based position and pain management can improve sleep qualityof patients with insomnia after hip replacement，reduce postoperative pain，and promote their recovery.

KeywordsHipreplacement；Insomnia;Enhancedrecovery aftersurgery；Positionmanagement；Pain management;Sleepquality；Rehabilitation；Department of orthopaedics

中圖分類號：R47;R338.63 文獻標識碼：A doi：10.3969/j. issn. 2095-7130. 2025. 04.013

術(shù)后失眠在骨科手術(shù)中普遍存在，表現(xiàn)為入睡困難、睡眠維持困難等，會使患者免疫力下降、內(nèi)分泌功能紊亂，嚴重影響患者術(shù)后恢復(fù)進程[1-2]。（剩余5192字）