To evaluate changes in the sleep patterns of patients undergoing general anesthesia for maxillofacial plastic surgery. A total of 200 consecutive craniofacial plastic surgery patients were enrolled in this study. Sixteen patients who did not stay in the craniofacial ward on the night before surgery were excluded, providing a final total of 184 patients. PSQI was used to evaluate sleep quality 1 month before surgery (baseline) and on the night before surgery. According to the baseline sleep quality score, patients were assigned to the sleep disorder group (SD group, n = 51, 27.7%; PSQI score > 5) or non-sleep disorder group (NSD group, n = 133, 72.3%; PSQI score ≤ 5). The PSQI score on the night before the operation was compared with the baseline score. Amongst the total sample size, the incidence of disturbed sleep on the night before surgery was significantly higher than baseline (PSQI score > 5: 89,48.4% vs.51,27.7%, respectively, P = 0.037). In the NSD group, the PSQI score the night before surgery was significantly increased compared with the baseline score (5.6 ± 3.2 vs. 2.4 ± 1.4, respectively, P < 0.0001). The PSQI score on the night before surgery was significantly lower in the NSD group than in the SD group (5.6 ± 3.2 vs. 7.4 ± 4.1, respectively, P = 0.009). On the night before surgery, the time to fall asleep was significantly prolonged. The sleep duration, the total time in bed, and the sleep efficiency were significantly reduced compared with the baseline in the NSD group. On the night before surgery, the sleep duration and the total time in bed were also reduced in the SD group, however, with no significant change in PSQI score. Patients without sleep disorders were more likely to have sleep disorders before surgery. So, this study concluded that a goal of perioperative management should be to actively address the sleep problems before surgery.

为了评估接受全麻颌面整形手术的患者的睡眠方式的变化。本研究共纳入200名连续的颅面整形手术患者。排除了在手术前一天晚上没有呆在颅面部病房的16名患者，最终共有184名患者。PSQI用于评估术前1个月（基线）和术前夜间的睡眠质量。根据基线睡眠质量评分，将患者分为睡眠障碍组（SD组，n  = 51，27.7％； PSQI评分> 5）或非睡眠障碍组（NSD组，n = 133，72.3％；PSQI分数≤5）。将手术前一天晚上的PSQI得分与基线得分进行比较。在总样本量中，术前夜间睡眠受干扰的发生率显着高于基线（PSQI评分> 5：分别为89,48.4％和51,27.7％，P  = 0.037）。在NSD组中，手术前一晚的PSQI得分比基线得分显着提高（分别为5.6±3.2和2.4±1.4，P  <0.0001）。NSD组术前夜间的PSQI评分显着低于SD组（分别为5.6±3.2和7.4±4.1，P = 0.009）。在手术前的晚上，入睡时间明显延长。与NSD组的基线相比，睡眠时间，卧床总时间和睡眠效率均显着降低。在手术前的晚上，SD组的睡眠时间和躺在床上的总时间也减少了，但是PSQI评分没有明显变化。没有睡眠障碍的患者在手术前更容易出现睡眠障碍。因此，这项研究得出的结论是围手术期管理的目标应该是积极解决手术前的睡眠问题。