术前睡眠质量对妇女剖宫产术后痛觉过敏的影响  

Effect of Preoperative Sleep quality on Women's Hyperalgesia after Cesarean Section

作　　者：韩雪[1] 金玲[1] 孙鸿[1] 常春玲[1] HAN Xue;JIN Ling;SUN Hong(Tieling Central Hospital, Liaoning Tieling 112000, China)

机构地区：[1]辽宁省铁岭市中心医院妇产科,辽宁铁岭112000

出　　处：《河北医学》2022年第5期775-778,共4页Hebei Medicine

基　　金：辽宁省科学技术计划项目,(编号:2019-ZD-1020)。

摘　　要：目的:分析术前睡眠质量对妇女剖宫产术后痛觉过敏的影响。方法:对2019年11月至2020年11月期间来我院进行治疗的586例剖宫产妇女进行研究。依据产妇术后第5天的数字疼痛量表(NRS)评分结果将其分为痛觉过敏组(n=152,NRS≥4分)和对照组(n=434,NRS<4分),对剖宫产妇女术后发生痛觉过敏的相关因素行单因素和Logistic多因素分析。结果:与对照组相比,痛觉过敏组产妇的术前有睡眠障碍比例、麻醉方式、术中补液量、使用咪达唑仑的比例均较高,手术时间、术后排气时间、术后排尿时间、术后排便时间均较长,差异统计学有意义(P<0.05)。Logistic多因素分析显示,术前有睡眠障碍、腰麻及全身麻醉、手术时间≥50min、术后排气时间≥20h为剖宫产妇女术后发生痛觉过敏的危险因素(P<0.05)。结论:术前有睡眠障碍是剖宫产妇女术后痛觉过敏发生的危险因素。Objective:To analyze the effect of preoperative sleep quality on women's hyperalgesia after cesarean section.Methods:586 cesarean section women who came to our hospital for treatment from November 2019 to November 2020 were studied.According to the score of digital pain scale(NRS)on the 5th day after operation,they were divided into hyperalgesia group(n=152,NRs≥4)and control group(n=434,NRS<4).The related factors of postoperative hyperalgesia in women undergoing cesarean section were analyzed by univariate and logistic multivariate analysis.Results:Compared with the control group,the proportion of preoperative sleep disturbance,spinal anesthesia,general anesthesia,intraoperative fluid volume,and midazolam use in the hyperalgesia group were higher,and the operation time and postoperative exhaust time were higher.postoperative urination time,postoperative defecation time were longer,the difference was significant(P<0.05).Logistic multivariate analysis showed that preoperative sleep disturbance,spinal anesthesia and general anesthesia,operation time≥50min,and postoperative exhaust time≥20h were risk factors for postoperative hyperalgesia in women with cesarean section(P<0.05).Conclusion:Preoperative sleep disturbance is a risk factor for postoperative hyperalgesia in women undergoing cesarean section.

关 键 词：剖宫产 睡眠质量 痛觉过敏 

分 类 号：R47[医药卫生—护理学]