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作 者:陈少花 李军 CHEN Shaohua;LI Jun(Operating room,Putian first hospital,Putian 351100,China)
机构地区:[1]福建省莆田市第一医院手术室,莆田351100
出 处:《世界睡眠医学杂志》2023年第7期1555-1558,共4页World Journal of Sleep Medicine
摘 要:目的:探究孕晚期睡眠质量对剖宫产妇女术后舒适度和痛觉过敏的影响。方法:采用定点连续抽样法选取2021年6月至2022年5月福建省莆田市第一医院择期行剖宫产手术的孕晚期妇女653名作为研究对象,应用匹兹堡睡眠质量指数量表(PSQI)、数字疼痛评分量表(NPRS)、舒适度状况量表(GCQ)、抑郁自评量表(SDS)、焦虑自评量表(SAS)进行调查,采用查询病例记录法收集孕期并发症、手术和麻醉状况。利用倾向得分匹配法(PSM)均衡睡眠好和睡眠差2组间的协变量,纳入睡眠好和睡眠差各193名。结果:43.7%孕晚期妇女睡眠差。PSM后孕晚期妇女睡眠好和睡眠差2组间的协变量均衡可比,差异均无统计学意义(均P>0.05)。孕晚期妇女睡眠好组在剖宫产术后72 h的生理维度、心理精神维度和环境维度得分高于睡眠差组(P<0.05)。睡眠质量差是剖宫产妇女术后痛觉过敏的影响因素(OR=1.920,95%CI为1.195~3.086)。结论:孕晚期睡眠障碍发生率高,孕晚期睡眠障碍是剖宫产妇女术后舒适度低和痛觉过敏发生率高的主要因素。Objective:To explore the effect of sleep quality in the third trimester of pregnancy on comfort and hyperalgesia after cesarean section.Methods:A fixed point continuous sampling method was used to select 653 late pregnancy women who underwent elective cesarean section at the First Hospital of Putian City,Fujian Province from June 2021 to May 2022 as the research subjects.The Pittsburgh Sleep Quality Index(PSQI),Digital Pain Rating Scale(NPRS),Comfort Status Scale(GCQ),Self Rating Depression Scale(SDS),and Self Rating Anxiety Scale(SAS)were used to investigate the incidence of complications during pregnancy Surgical and anesthesia conditions.Using the propensity score matching method(PSM)to balance the covariates between the two groups of good and poor sleep,193 individuals were included in each group.Results:43.7%of late pregnancy women have poor sleep.The covariates of good and poor sleep in late pregnancy women after PSM were comparable,and the differences were not statistically significant(P>0.05).The group with good sleep in late pregnancy had higher scores in physiological,psychological,and environmental dimensions 72 hours after cesarean section compared to the group with poor sleep(P<0.05).Poor sleep quality is a influencing factor for postoperative hyperalgesia in women undergoing cesarean section(odds ratio=1.920,95%confidence interval=1.195~3.086).Conclusion:The incidence of sleep disorder in the third trimester of pregnancy is high.Sleep disorder in the third trimester of pregnancy is the main factor of low postoperative comfort and high incidence of hyperalgesia in cesarean section women.
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