| Abstract |
Abstract: Objective: To investigate the effect of perioperative sleep quality of general anesthesia patients on gastrointestinal function recovery, pain degree and anesthetic drug consumption in patients undergoing abdominal surgery.Methods: 100 patients with gastrointestinal diseases undergoing general anesthesia in gastrointestinal surgery of XX Hospital from February 2018 to October 2019 were included. The Pittsburgh Sleep Quality Index Scale was used to evaluate the patients sleep status in the past month The score is divided into a sleep disorder group and a control group according to whether there is sleep disorder, Comparing the perioperative use of propofol and remifentanil for the two groups of patients, and recording the postoperative gastrointestinal function recovery of the two groups of patients, The pain visual analog scale was used to score the postoperative pain status of the patients, and the multi-dimensional fatigue scale was used to score the patients perioperative fatigue during discharge. Results: According to the preoperative PSQI score, 36 out of 100 patients had sleep disorders. The analysis after grouping showed that: (1) the amount of propofol used in the sleep disorder group during the perioperative period was higher than that of the control group, the difference was statistically significant ( 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 of the 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 With statistical significance (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, the difference was statistically significant (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.
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