经前综合征和月经周期对术后疼痛的影响。
The effect of premenstrual syndrome and menstrual phase on postoperative pain.
作者信息
Arab Maliheh, Mirkheshti Alireza, Noghabaei Giti, Ashori Adeleh, Ghasemi Tahereh, Hosseini-Zijoud Seyed Mostafa
机构信息
Preventative Gynecology Research Center (PGRC), Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran ; Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Anesth Pain Med. 2015 Apr 20;5(2):e19333. doi: 10.5812/aapm.19333. eCollection 2015 Apr.
BACKGROUND
Premenstrual syndrome (PMS) is a common finding in luteal phase of menstrual cycle resulting in several changes in woman life including pain sensation.
OBJECTIVES
This study evaluated the alterations of postoperative pain sensation in those with and without a history of PMS.
PATIENTS AND METHODS
A total of 140 women in in postoperative period were assigned to four groups regarding luteal or follicular phase of menstrual cycle and the history of PMS and were evaluated regarding scale of pain sensation and morphine demand in recovery room. To evaluate the difference among the groups, Mann Whitney U, Kruskal-Wallis, and Bonferroni tests were used.
RESULTS
Patients with PMS presented higher pain sensation and analgesia request (P = 0.003). Patients in luteal phase showed less pain and analgesia request in two out of five studied outcomes (P = 0.075).
CONCLUSIONS
The most comfortable postoperative women were those in luteal phase without history of PMS group.
背景
经前综合征（PMS）是月经周期黄体期的常见现象，会给女性生活带来包括疼痛感觉在内的多种变化。
目的
本研究评估有和没有经前综合征病史的患者术后疼痛感觉的改变。
患者与方法
总共140名术后女性根据月经周期的黄体期或卵泡期以及经前综合征病史被分为四组，并在恢复室就疼痛感觉程度和吗啡需求量进行评估。为评估组间差异，使用了曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验和邦费罗尼检验。
结果
有经前综合征的患者表现出更高的疼痛感觉和镇痛需求（P = 0.003）。在五项研究结果中的两项中，处于黄体期的患者疼痛和镇痛需求较少（P = 0.075）。
结论
术后最舒适的女性是那些处于黄体期且无经前综合征病史的组。
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