食管癌根治术前睡眠质量及与早期康复、生活质量的关系

Analysis of Sleep Quality before Esophageal Cancer Radical Surgery and its Relationship with Early Rehabilitation and Quality of Life

目的 进行食管癌根治术前睡眠质量分析,观察睡眠质量与早期康复、生活质量的关系。方法 采用匹兹堡睡眠指数(Pittsburgh sleep quality index,PSQI)评估2018年8月~2023年9月80例食管癌患者术前睡眠质量,比较不同睡眠质量患者围术期基础资料、早期康复情况以及生活质量量表评估。结果 80例食管癌患者术前32例睡眠差,比例40.00%;睡眠差组与睡眠正常组手术时间、出血量、受教育年限、体质指数、性别、年龄等基础资料差异无统计学意义(P>0.05);睡眠差组下床、进食、住院时间长于睡眠正常组,简明健康调查量表(36-items short form health survey,SF-36)评分低于睡眠正常组(P<0.05);睡眠差组谵妄、认知障碍发生率显著高于睡眠正常组(P<0.05),切口感染、喉返神经麻痹等差异无统计学意义(P>0.05)。结论 食管癌根治术前睡眠差可能影响术后早期康复进程,降低生活质量,增加谵妄、认知障碍等并发症发生率。

Objective To conduct the preoperative sleep quality analysis for esophageal cancer radical surgery,and observe the relationship between sleep quality,early rehabilitation,and quality of life.Methods The preoperative sleep quality in 80 esophageal cancer patients from August 2018 to September 2023 were evaluated using the Pittsburgh sleep quality index(PSQI).The perioperative basic data,early rehabilitation status,and quality of life scales among patients with different sleep quality were compared.Results 32 out of 80 esophageal cancer patients had poor sleep before surgery,accounting for 40.00%.There was no statistically significant difference in basic data such as surgical time,bleeding volume,years of education,body mass index,gender,and age between the sleep poor group and the sleep good group(P>0.05).The sleep poor group had longer bedtime,food intake,and hospital stay than the sleep good group,and the Short Form Health Survey(SF-36)score was lower than that of the sleep good group(P<0.05).The incidence of delirium and cognitive impairment in the group with poor sleep was significantly higher than that in the group with good sleep(P<0.05),while there was no statistically significant difference in incision infection,recurrent laryngeal nerve paralysis,etc(.P>0.05).Conclusion Poor sleep before esophageal cancer radical surgery may affect the early postoperative recovery process,reduce quality of life,and increase the incidence of complications such as delirium and cognitive impairment.