基于“适应-系统”双模式评估对甲状腺切除术患者睡眠及并发症的影响

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The Impact of “Adaptation-system” Dual-mode Evaluation on Sleep and Complications in Patients Undergoing Thyroidectomy

HE Qiurong

（Department of General Surgery，Xiamen Traditional Chinese Medicine Hospital，Xiamen 361Ooo，China）

AbstractObjective：Toanalyze the impactof dual-mode management based on“adaptation-system”evaluation on patients undergoing thyroidectomy.Methods：Atotalof140patientswhounderwentthyroidectomyintheDepartmentofGeneral Surgeryof Xiamen Traditional Chinese Medicine Hospital from January 2O24 to December 2024 were selectedasthestudy subjects.They wererandomlydividedintoacontrolgroupandanobservation groupusingarandom numbertablemethod，with 7Opatients in eachgroup.Tecontrolgroupreceivedtraditionalmanagementintervention，hiletheobservationgroupreceivedtargetedanagementbasedonthe“adaptation-system”dual-modeevaluation.Totalsleeptime，sleeplatency，andslepeficiencyweremonitored usinga polysomnographysystem，andtheincidenceofcomplicationssuchashypocalcemicconvulsions werecomparedbetweenthe twogroups.Results：Afterintervention，tetotalsepimeandslepeficiencyof thebservationgroupweresignificantlyhigher thanthose ofthecontrol group，andthesleplatencywassignificantlylowerthan thatof thecontrol group.Theincidenceof complicationssuchashypocalcemicconvulsionsintheobservationgroupwassignificantlylower thanthatof hecontrolgroup，andthe differences between the two groups were statistically significant（ P<0.05 ）. Conclusion：Targeted management based on the“adaptation-system”dual-modeevaluationcanefectivelyreducetheincidenceofcomplicationsafterthyroidectomy，improvepatient sleep quality，and is worthy of clinical application and promotion.

KeywordsIndividualadaptability；Physiological adaptation；Psychologicaladaptation；“Adaptation-system”dual-mode；Targeted management； Thyroidectomy； Sleep quality；Complications

中图分类号：R736.1;R338.63 文献标识码：A doi：10.3969/j. issn. 2095 -7130. 2025.07.038

甲状腺切除术是治疗甲状腺肿瘤、结节及功能亢进等疾病的常见术式，手术过程中的创伤、麻醉刺激以及术后疼痛，常常会导致患者睡眠质量下降。（剩余5435字）