[摘要] 目的 探讨肝胆外科患者术后失眠的可能原因。方法 采用自定的影响失眠相关因素调查表对我院2005年10月～2006年5月特需科连续收治100例手术患者进行问卷调查。所有数据输入SAS 9.1.3软件包，运用多分类有序反应变量Logistic回归分析进行统计学分析。分别将失眠天数和术前/术后睡眠的时间的差值作为反应变量。结果 焦虑优势比(odds ration，2.259)，95%可信区间(1.019，5.007)，说明焦虑是影响因素。术前睡眠时间的优势比(odds ration，0.246)，95%可信区间(0.151，0.400)，是保护因素。经济情况顾虑的优势比(odds ration，3.873)，95%可信区间(1.203，12.467)，是影响因素。结论 焦虑患者比不焦虑患者术后失眠天数更长。术后失眠严重的程度主要与术前睡眠的时间和对经济情况顾虑有关。

    [关键词] 肝胆外科；失眠；术后护理

    Multi-factors analysis of hepatobiliary surgery patients with insomnia after operation

    XU Li-li,XIE Feng,YANG Jia-mei,et al.Eastern Hepatobiliary Surgery Hospital,Shanghai 200438,China

    [Abstract] Objective To investigate the insomnia and related factors among hepatobiliary surgery patients.Methods With se1f-designed sleeping influence factors questionnaire，from Oct 2005 to May 2006,100 continuous hepatobiliary surgery patients in our department were investigated.Multi-response variable logistic regression analysis had been used to analyze the data by SAS 9.1.3.The insomnia days and the difference of bedtime between pre-operation and post-operation were regarded as response variable.Results Anxiety had been evaluated to be related to insomnia(odds ration ......