142例喉癌术后患者整体睡眠质量状况调查分析

doi:10.6040/j.issn.1673-3770.0.2018.244

摘要/Abstract

摘要： 目的了解喉癌术后患者整体睡眠质量状况。方法以2015年5月至12月就诊于青岛大学附属医院耳鼻咽喉头颈外科门诊复查的142例喉癌术后患者(实验组)和48例查体健康者(对照组)为研究对象,采用匹兹堡睡眠质量指数(PSQI)、睡眠状况自评量表(SRSS)对其进行问卷调查,调查结果量化评分,并进行统计学分析。结果实验组与对照组PSQI总分分别为(7.20±3.84)、(4.42±1.61)分,二者比较差异有统计学意义(P<0.001)。实验组与对照组SRSS总分分别为(24.92±5.80)、(18.27±3.39)分,二者比较差异有统计学意义(P<0.001)。放化疗者与非放化疗者PSQI总分分别为(7.65±4.39)、(6.92±3.45)分,二者比较差异无统计学意义(P=0.295);放化疗与非放化疗者SRSS总分分别为(25.56±6.11)、(24.52±5.60)分,二者比较差异无统计学意义(P=0.297)。喉部分切除术后拔管者、喉部分切除术后未拔管者、喉全切除术后者PSQI总分分别为(6.90±3.33)、(8.80±5.44)、(7.20±3.98)分,三者比较差异无统计学意义(P=0.215);三者SRSS总分分别为(24.05±4.92)、(27.80±8.00)、(25.40±6.10)分,三者比较差异无统计学意义(P=0.055)。142例喉癌患者中92例存在不同程度的疼痛不适,占64.79%;135例有口腔干燥、次数不等的夜间如厕情况,占95.07%;112例有醒来后再次入睡困难的情况,占78.87%。结论喉癌患者术后整体睡眠质量较差,导致睡眠质量低下的主要原因为疾病本身造成的躯体痛苦和心理障碍、治疗导致的后遗症及合并症。

关键词: 喉肿瘤, 外科手术, 睡眠质量

Abstract: Objective To investigate sleep quality in post-laryngectomy patients. Methods In total, 142 post-laryngectomy patients and 48 healthy controls were recruited into this study between May 2015 and February 2016 from the Department of Otorhinolaryngology & Head and Neck Surgery of the Affiliated Hospital of Qingdao University. The Pittsburgh Sleep Quality Index(PSQI)and SRSS were used to evaluate sleep quality and the results of these measures were statistically analyzed. Results Both the average PSQI score and the average SRSS score were higher in the experimental group(7.20±3.84, and 24.92±5.80, respectively)than the control group(4.42±1.61, 18.27±3.39, respectively, P<0.01). The average PSQI score in patients who received chemoradiotherapy after laryngectomy(7.65±4.39), did not significantly differ from the score of those who did not(6.92±3.45, P=0.295). Similarly, the average SRSS score in patients who received chemoradiotherapy after laryngectomy(25.56±6.11)did not significantly differ from the score of those who did not(24.52±5.60, P=0.297). The average PSQI scores of patients who underwent extubation after partial laryngectomy, non-extubation after partial laryngectomy, or total laryngectomy(6.90±3.33, 8.80±5.44, 7.20±3.98, respectively)were not significantly different from one another(P=0.215). There were similarly no significant differences between the average SRSS scores of patients who underwent extubation after partial laryngectomy, non-extubation after partial laryngectomy, or total laryngectomy(24.05±4.92, 27.80±8.00, 25.40±6.10, respectively, P=0.055). In 142 cases of post-laryngectomy, 92 cases(64.79%)had differing degrees of pain and discomfort, 135 patients(95.07%)reported dry mouth and using the toilet at night, and 112 patients(78.87%)had difficulty falling asleep after waking up. Conclusion The overall sleep quality of post-laryngectomy patients is poor. The main causes of poor sleep quality are physical pain, psychological disorders caused by the disease itself, and sequelae and complications caused by treatment.

Key words: Laryngeal neoplasms, Surgical procedures, operative, Sleep quality

中图分类号:

R739.65

丁洁,孙彦. 142例喉癌术后患者整体睡眠质量状况调查分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(4): 76-81.

DING Jie, SUN Yan. Survey of overall sleep quality in 142 patients with laryngectomy[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 76-81.

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