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目的 了解腹腔镜胆囊切除术 (LC)患者手术前后的睡眠状况。方法 采用匹兹堡睡眠质量指数 (PSQI)问卷 ,对 3 0例行LC患者在术前 2d及术后 1个月分别进行睡眠质量评定 ,从睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物和日间功能障碍等七个方面及PSQI总分等分析患者手术前后的睡眠状况。结果 术前睡眠状况明显较术后差 ,术前睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍得分及PSQI总分均明显高于术后 (P <0 0 5 ) ,术前后的催眠药物及日间功能障碍得分差异无显著意义 (P >0 0 5 )。结论 因疾病本身的影响及患者对手术的顾虑 ,术前患者的睡眠状况明显差于术后。
Objective To understand the pre-operative and post-operative sleep status of patients undergoing laparoscopic cholecystectomy (LC). Methods Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to evaluate the sleep quality of 30 patients undergoing LC at 2 days before surgery and 1 month after operation, from sleep quality, sleep time, sleep time, sleep efficiency, sleep disturbance, Seven aspects of hypnotic drugs and daytime dysfunction and total PSQI scores were used to analyze the patient’s sleep status before and after surgery. Results The preoperative sleep status was significantly worse than that of the postoperative one. The preoperative sleep quality, sleep time, sleep time, sleep efficiency, sleep disturbance score, and PSQI score were significantly higher than those after surgery (P < 0.05). There was no significant difference in scores of hypnotic drugs and daytime dysfunction (P > 0 05). Conclusion Due to the impact of the disease itself and the patient’s concern about the operation, the preoperative sleep condition was significantly worse than that of the postoperative patient.