基于加速康复外科的体位及疼痛管理对髋关节置换术后失眠患者的影响

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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

中图分类号：R47;R338.63 文献标识码：A doi：10.3969/j. issn. 2095-7130. 2025. 04.013

术后失眠在骨科手术中普遍存在，表现为入睡困难、睡眠维持困难等，会使患者免疫力下降、内分泌功能紊乱，严重影响患者术后恢复进程[1-2]。（剩余5192字）