艾司唑仑片对胫骨平台骨折术后患者情绪、睡眠及疼痛的影响

Effects of Estazolam tablets on psychological and emotional state,mental behavior state,sleep quality and cognitive ability of patients after tibial plateau fracture

目的探究给予胫骨平台骨折术后患者艾司唑仑片治疗后对患者情绪、精神状态及术后睡眠质量水平的影响。方法选取我科2020年1月~2022年12月期间105例胫骨平台骨折患者作为研究对象,根据随机数字表法分为两组。对照组52例给予常规术后镇痛药物舒芬太尼镇痛治疗,观察组53例联合艾司唑仑片治疗,对比两组患者心理状态、精神状态,睡眠质量及术后并发症发生率。结果两组患者手术情况及术后康复手段无明显差异(P>0.05);手术后,观察组患者汉密尔顿焦虑量表与汉密尔顿抑郁量表评分低于对照组;手术后,观察组患者视觉模拟评分量表评分低于对照组,匹兹堡睡眠质量指数评分低于对照组(P<0.05);两组患者药物不良反应发生率对比无明显差异(P>0.05)。结论艾司唑仑片可以部分缓解胫骨平台骨折患者的术后不良情绪,改善患者的术后睡眠质量,减轻患者疼痛程度。

Objective To explore the effect of estazolam tablets on mood,mental state and postoperative sleep quality in patients with tibial plateau fractures.Methods 105 patients with tibial plateau fracture in our department from January 2020 to December 2022 were selected as the study objects and divided into two groups according to ran-dom number table method.Fifty-two patients in the control group were treated with sufentanil,and 53 patients in the observation group were treated with Estazolam tablets.The psychological status,mental status,sleep quality and post-operative complication rate of the two groups were compared.Results There was no significant difference in opera-tive efficiency and line efficiency between the two groups(P>0.05).After operation,the scores of Hamilton anxiety scale and Hamilton depression scale in observation group were lower than those in control group;After surgery,the visual analog scale score and Pittsburgh sleep quality index score of observation group were lower than those of control group(P<0.05).There was no significant difference in the incidence of adverse drug reactions between the two groups(P>0.05).Conclusion Estazolam tablets can partially relieve postoperative bad mood in patients with tibial plateau fractures,improve the sleep quality of patients after surgery,and reduce the pain degree of patients.