Life quality of obstetric patients in the late postoperative period after cesarean section
- Authors: Ilyichev R.I.1, Dolgikh V.T.2, Kuzovlev A.N.2, Khairullin A.R.1
-
Affiliations:
- Branch No. 3 of the National Medical Research Center for High Medical Technologies – the A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- The V.A.Negovsky Research Institute of General Resuscitation of the Federal Scientific and Clinical Center for Resuscitation and Rehabilitology of the Ministry of Education and Science of the Russian Federation
- Issue: Vol 344, No 5 (2023)
- Pages: 47-52
- Section: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/630063
- DOI: https://doi.org/10.52424/00269050_2023_344_5_47
- ID: 630063
Cite item
Open Access
Access granted
Subscription Access
Abstract
The purpose of the study was to assess the life quality of obstetric patients in the late postoperative period after a caesarean section with various options for anesthesia. 310 patients were divided into three groups. Epidural anesthesia and prolonged epidural analgesia were performed in the primary group (n=112), combined spinal-epidural anesthesia and prolonged epidural analgesia were performed in the comparison group (n=95), epidural anesthesia was performed in the control group (n=103), and postoperative period — non-steroidal anti-inflammatory drugs. Quality of life was assessed using the SF-36 questionnaire. An increase in the quality of life was found in all patients in the first 6 months after surgery (the period of recovery after operative delivery and adaptation to a newborn child). Twelve months after the operation, higher rates in all parameters were registered in patients of the primary group. The use of prolonged epidural analgesia after cesarean section improves the physical and psycho-emotional state of obstetric patients, which favorably affects the course of the late postoperative period.
About the authors
R. I. Ilyichev
Branch No. 3 of the National Medical Research Center for High Medical Technologies – the A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Author for correspondence.
Email: ros40@yandex.ru
подполковник медицинской службы
Russian Federation, Krasnogorsk, Moscow regionV. T. Dolgikh
The V.A.Negovsky Research Institute of General Resuscitation of the Federal Scientific and Clinical Center for Resuscitation and Rehabilitology of the Ministry of Education and Science of the Russian Federation
Email: ros40@yandex.ru
заслуженный деятель науки РФ, профессор
Russian Federation, MoscowA. N. Kuzovlev
The V.A.Negovsky Research Institute of General Resuscitation of the Federal Scientific and Clinical Center for Resuscitation and Rehabilitology of the Ministry of Education and Science of the Russian Federation
Email: ros40@yandex.ru
доктор медицинских наук, доцент
Russian Federation, MoscowA. R. Khairullin
Branch No. 3 of the National Medical Research Center for High Medical Technologies – the A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: ros40@yandex.ru
подполковник медицинской службы
Russian Federation, Krasnogorsk, Moscow regionReferences
- Овечкин А.М. Послеоперационное обезболивание в акушерстве и гинекологии (аналитический обзор) // Регионар. анестез. и леч. острой боли. – 2014. – № 2. – С. 5–16.
- Полушин Ю.С., Коростелев Ю.М., Вартанова И.В. и др. Болевой синдром после родов и его влияние на качество жизни // Анестезиол. и реаниматол. – 2015. – № 2. – С. 47–50.
- Пучков К.В., Коренная В.В., Подзолкова Н.М. Fast track: хирургические протоколы ускоренной реабилитации в гинекологии // Гинекология. – 2015. – Т. 17, № 3. – С. 40–45.
- Cao X., Zhang X. Comparison of different sufentanil-tramadol combinations for pain relief within the first 24 hours after cesarean section: a retrospective study // J. Pain. Res. – 2018. – Vol. 11. – P. 2445–2451. doi: 10.2147/JPR.S177500
- De Brito Canзado T.O., Omais M., Ashmawi H.A., Torres M.L. Chronic pain after cesarean section. Influence of anesthetic/surgical technique and postoperative analgesia // Rev. Bras. Anestesiol. – 2012. – Vol. 62, N 6. – P. 762–774. doi: 10.1016/S0034-7094(12)70177-0
- Haiying Z., Lijun Z., Yanjun L. et al. Postoperative analgesic effect of different doses of naloxone combined with butorphanol and psychological nursing intervention // Pak. J. Pharm. Sci. – 2018. – Vol. 31, N 5 (Special). – P. 2229–2234.
- Hollman M.W., Durieux M.E. Local anesthetics and the inflammatory response: a new therapeutic indication? // Anesthesiology. – 2000. – Vol. 93, N 3. – P. 858–875.
- Kintu A., Abdulla S., Lubikire A. et al. Postoperative pain after cesarean section: assessment and management in a tertiary hospital in a low-income country // BMC Health Serv. Res. – 2019. – Vol. 19, N 1. – P. 68. doi: 10.1186/s12913-019-3911-x
- Thomas D., Panneerselvam S., Kundra P. et al. Continuous wound infiltration of bupivacaine at two different anatomical planes for caesarean analgesia – A randomised clinical trial // Indian J. Anaesth. – 2019. – Vol. 63, N 6. – P. 437–443. doi: 10.4103/ija.IJA745_18
- Street L.M., Harris L., Curry R.S., Eisenach J.C. Capsaicin-induced pain and sensitisation in the postpartum period // Br. J. Anaesth. – 2019. – Vol. 122, N 1. – P. 103–110. doi: 10.1016/j.bja.2018.09.026
- Zhang J., Zhang L., Zhao X. et al. Association between MDR1/CYP3A4/OPRM1 gene polymorphisms and the post-caesarean fentanyl analgesic effect on Chinese women // Gene. – 2018. – Vol. 661. – P. 78–84. doi: 10.1016/j.gene.2018.03.081
Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).