在接受视觉胸腔镜手术的患者中,术后疼痛,睡眠质量和康复结果的性别差异
Hongyu Wang1, Man Luo1, Yanping Yang1
1Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Heliyon
|October 22, 2024
概括
与男性相比,女性在VATS手术后经历了更大的术后疼痛,睡眠质量较差,炎症反应较高. 这些基于性别的差异影响了恢复结果,强调了需要量身定制的疼痛和睡眠管理策略的需要.
科学领域:
- 胸部外科手术 胸部外科手术
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
- 睡眠医学 睡眠医学
- 炎症研究 炎症研究
背景情况:
- 视频辅助胸腔镜手术 (VATS) 后的术后结果可能受到各种因素的影响.
- 了解患者人口统计学 (如性别) 对疼痛,睡眠和恢复的影响对于优化护理至关重要.
研究的目的:
- 研究性对手术后疼痛,睡眠质量和在全身麻醉下接受VATS的患者的恢复的影响.
- 根据VATS,分析性别之间的炎症标志物差异.
主要方法:
- 一项前性队列研究包括158名患者 (79名男性,79名女性) 接受VATS.
- 使用视觉模拟尺度 (VAS) 评估疼痛.
- 在多个时间点使用雅典失眠量表 (AIS) 评估睡眠质量. 测量了手术期间系统性炎症指数 (SII).
主要成果:
- 与男性相比,女性在手术后3小时报告了明显更高的休息和咳疼痛得分 (p < 0.001 休息,p = 0.006 咳).
- 男性组的患者在术后第1天和第3天的AIS得分 (更好的睡眠) 显著降低 (p = 0.024,p = 0.045).
- 术后的SII水平在两组中都增加,但女性的SII水平与男性相比显著增加 (p = 0.042).
结论:
- 性行为在调节术后疼痛,睡眠质量和VATS后炎症反应方面发挥着重要作用.
- 与男性相比,女性在疼痛,睡眠质量和炎症反应方面经历了更糟糕的结果.
- 研究结果强调了手术后恢复的多维性质,以及需要考虑性别特异性因素的必要性.
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