The effect of pre-operative sleep quality on post-operative pain and emergence agitation: prospective and cohort study.

Nagihan Yıldız, Ahmet Besir, Ersagun Tugcugil, Davut Dohman
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Abstract

Objective: Our study aimed to investigate the effect of pre-operative sleep quality on post-operative pain and emergence agitation.

Materials and methods: Our study was performed 80 patients with American Society of Anesthesiologists I-II and 18-65 years of age. The patients were divided into poor (Group A, n = 40) and good sleep quality (Group B, n = 40). All patients were operated on under standard general anesthesia. The emergence agitation and pain status of all groups were evaluated in the recovery room and post-operative period.

Results: There was no significant difference between the groups regarding demographic data. Post-operative numeric rating scale scores and analgesic consumption were significantly higher in Group A than in Group B (p < 0.05). There was no significant difference between the groups regarding post-operative emergence agitation and extubation quality (p > 0.05).

Conclusion: In our study, poor pre-operative sleep quality increases post-operative pain and analgesic consumption; however, emergence agitation is not associated with sleep quality in the pre-operative period.

术前睡眠质量对术后疼痛和出现躁动的影响:前瞻性队列研究。
目的:我们的研究旨在探讨术前睡眠质量对术后疼痛和出现躁动的影响:我们的研究旨在探讨术前睡眠质量对术后疼痛和术后躁动的影响:研究对象为美国麻醉医师协会 I-II 级、年龄在 18-65 岁之间的 80 名患者。患者被分为睡眠质量差(A 组,n = 40)和睡眠质量好(B 组,n = 40)两组。所有患者均在标准全身麻醉下进行手术。在恢复室和术后对各组患者的唤醒躁动和疼痛状况进行了评估:结果:两组患者的人口统计学数据无明显差异。A 组术后数字评分量表得分和镇痛剂用量明显高于 B 组(P < 0.05)。在术后出现躁动和拔管质量方面,组间无明显差异(P > 0.05):结论:在我们的研究中,术前睡眠质量差会增加术后疼痛和镇痛药的用量;但术后出现躁动与术前睡眠质量无关。
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