全麻下腹部手术患者的围术期睡眠质量对术后恢复的影响

目的 探讨全麻患者围手术期睡眠质量对腹部手术患者术后胃肠功能恢复、疼痛程度及麻醉药物用量的影响.方法 纳入2018年2月～2019年10月在XX医院胃肠外科行全麻手术的胃肠道疾病患者100例,术前1天采用匹兹堡睡眠质量指数量表对患者近1月睡眠状况进行评估,分为睡眠障碍组和对照组,比较两组患者围手术期麻醉药品丙泊酚、瑞芬...

Perioperative sleep quality in patients with general anesthesia and postoperative recovery in patients with abdominal surgery

Objective To investigate the influence of perioperative sleep quality of general anesthesia patients on gastrointestinal function recovery,pain degree and anesthetic drug consumption in patients undergoing abdominal surgery.Methods From February 2018 to October 2019,100 patients with gastrointestinal diseases undergoing general anesthesia in gastrointestinal surgery of XX Hospital were included.The Pittsburgh Sleep Quality Index Scale was used to evaluate the patients'sleep status in the past month,all the patients were divided into a sleep disorder group and a control group.The perioperative use of propofol and remifentanil,the postoperative gastrointestinal function recovery,the the postoperative pain status,and the patients'perioperative fatigue during discharge were compared between two groups.Results According to the preoperative PSQI score,36 out of 100 patients had sleep disorders(.1)The amount of propofol used in the sleep disorder group during the perioperative period was higher than that of the control group(P<0.05).(2)The time of first exhaustion,recovery time of bowel sounds,and time of first bowel movement after sleep disorder group were higher than those of control group(P<0.05).(3)The VAS scores in both of two groups at 12h,24h,48h and 72h postoperatively showed a downward trend(F trend=34.991,15.799,P<0.05).The VAS scores of the sleep disorder group after 12h,24h,48h and 72h were higher than those of the control group(P<0.05).(4)The MFI-20 score showed that the mental fatigue,physical fatigue,mental fatigue and average fatigue degree scores of the sleep disorder group were higher than the control group(P<0.05).Conclusion Sleep disturbance will increase the amount of propofol used during abdominal surgery,and the postoperative pain will be more severe.Patients will be more prone to fatigue,and the recovery of gastrointestinal function after surgery will be slower.