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Sleep Disturbance and Anatomic Shoulder Arthroplasty

机译：睡眠障碍和解剖肩关节形成术

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摘要

Sleep disturbance is commonly encountered in patients with glenohumeral joint arthritis and can be a factor that drives patients to consider surgery. The prevalence of sleep disturbance before or after anatomic total shoulder arthroplasty has not been reported. The authors identified 232 eligible patients in a prospective shoulder arthroplasty registry following total shoulder arthroplasty for primary glenohumeral joint arthritis with 2-to 5-year follow-up. Sleep disturbance secondary to the affected shoulder was characterized preoperatively and postoperatively as no sleep disturbance, frequent sleep disturbance, or nightly sleep disturbance. A total of 211 patients (91%) reported sleep disturbance prior to surgery. Patients with nightly sleep disturbance had significantly worse (P <.05) Constant pain, Constant activity, and Western Ontario Osteoarthritis Shoulder index scores prior to surgery. Postoperatively, there was a significant improvement in the prevalence of sleep disturbance, with 186 patients (80%) reporting no sleep disturbance (P <.001). The no sleep disturbance group had significantly greater patient-reported outcome scores and range of motion following surgery compared with the other sleep disturbance groups for nearly all outcome measures (P <.01). Patients have significant improvements in sleep after anatomic shoulder arthroplasty. There was a high prevalence of sleep disturbance preoperatively (211 patients, 91%) compared with postoperatively (46 patients, 20%).
机译：胶质环节关节炎患者通常遇到睡眠障碍，并且可以成为推动患者考虑手术的因素。尚未报告解剖总肩关节形成术前后睡眠障碍的患病率。作者确定了232名符合条件的患者在一名前瞻性肩部关节成形术登记处，其肩部关节置换术治疗原发性胶质环关节炎，2比5年随访。患有受影响的肩部的睡眠障碍被术前和术后表征，没有睡眠干扰，频繁睡眠干扰或夜间睡眠障碍。在手术之前，共有211名患者（91％）报告睡眠障碍。患有夜间睡眠障碍的患者显着越差（p <.05）恒定疼痛，持续的活动和西部的骨关节炎在手术前肩部指数分数。术后，睡眠障碍的患病率有显着改善，186名患者（80％）报告没有睡眠障碍（P <.001）。与几乎所有结果措施的其他睡眠障碍组相比，术后患者报告的患者报告的结果评分和运动范围明显更大，与其他睡眠障碍组相比（p <.01）。患者在解剖肩部成形术后睡眠有显着改善。术前（211名患者，91％）与术后（46名患者，20％）相比，睡眠障碍患病率很高。

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