Level of Pain and Analgesics Taken after Cesarean Section and Differences According to Type of Anesthesia and Demographic Factors

Razina boli i potrošnja analgetika nakon carskog reza ovisno o vrsti anestezije i demografskim podatcima

Sestre Milosrdnice University hospital and Institute of Clinical Medical Research 2022

The aim of this study was to investigate the level of pain and analgesic consumption in puerperas after cesarean section according to the type of anesthesia administered. This was a prospective study conducted at the Department of Obstetrics and Gynecology, Mostar University Hospital, in the period from September 2015 to June 2016. The study included 111 puerperas. Experimental group included 54 puerperas operated on under spinal anesthesia, while comparative group included 57 puerperas operated on under general anesthesia. Primary endpoints of the study were pain score and dose number of analgesics used. Input parameters of the study were age, gestational age, education, and place of residence. To determine the level of pain, visual analog scale for pain was used. Results showed that puerperas operated on under spinal anesthesia had significantly lower pain sensation (p=0.031) and less need for analgesic consumption in the postoperative period as compared to those operated on under general anesthesia (p=0.024). Increased age was associated with lower pain sensation (p=0.014) and need for analgesics (p<0.05). Higher level of education was associated with greater need for analgesics (p=0.016). Living in urban area was associated with greater pain sensation (p=0.023) and less need for analgesics (p<0.17). Spinal anesthesia for cesarean section resulted in less pain and less need for analgesics in the postoperative period compared to general anesthesia.
Cilj istraživanja je bio utvrditi razinu boli i potrošnju analgetika u babinjača nakon carskog reza u odnosu na vrstu primijenjene anestezije. Provedeno je prospektivno istraživanje u Klinici za ginekologiju i porodništvo Sveučilišne kliničke bolnice Mostar u razdoblju od 1. rujna 2015. do 30. lipnja 2016. godine. Eksperimentalna skupina sastojala se od 54 babinjače koje su operirane u spinalnoj anesteziji, dok se usporedna skupina sastojala od 57 babinjača koje su operirane u općoj anesteziji. Izlazni parametri istraživanja bili su osjećaj boli i broj doza primljenih analgetika. Ulazni parametri istraživanja bili su: životna dob, gestacijska dob, stupanj obrazovanja i sredina življenja. Za utvrđivanje razine boli primijenjena je vizualno- analogna ljestvica boli. Rezultati ukazuju na to da babinjače operirane u spinalnoj anesteziji imaju značajno manji osjećaj boli (p=0,031) i manju potrebu za analgeticima u poslijeoperacijskom razdoblju u odnosu na babinjače operirane u općoj anesteziji (p=0,024). Veća životna dob ispitanica povezana je s manjim osjećajem boli (p=0,014) i manjom potrebom za analgeticima (p<0,05). Viši stupanj obrazovanja povezan je s većom razinom boli i potrebom za analgeticima (p=0,016). Život u urbanoj sredini povezan je s većim osjećajem boli (p=0,023) i većom potrebom za analgeticima (p<0,17). Spinalna anestezija za carski rez rezultira manjim osjećajem boli i manjom potrebom za analgeticima u poslijeoperacijskom razdoblju u odnosu na opću anesteziju.

Puerpera; Spinal anesthesia; General anesthesia; Pain level; Analgesic consumption; Cesarean section; Babinjače; Spinalna anestezija; Opća anestezija; Razina boli; Potrošnja analgetika; Carski rez; text; info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion

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