急诊剖宫产是否存在昼夜节律？
Do Urgent Caesarean Sections Have a Circadian Rhythm?
作者信息
Doğru Serkan, Doğru Hatice Yılmaz, Karaman Tuğba, Şahin Aynur, Tapar Hakan, Karaman Serkan, Arıcı Semih, Özsoy Asker Zeki, Çakmak Bülent, İşgüder Çiğdem Kunt, Delibaş İlhan Bahri, Karakış Alkan
机构信息
Department of Anaesthesiology and Reanimation, Gaziosmanpaşa University School of Medicine, Tokat, Turkey.
Department of Obstetrics and Gynaecology, Gaziosmanpaşa University School of Medicine, Tokat, Turkey.
出版信息
Turk J Anaesthesiol Reanim. 2016 Jun;44(3):124-7. doi: 10.5152/TJAR.2016.57614. Epub 2016 Jun 1.
OBJECTIVE
The primary goal of the present study was to demonstrate the existence of a possible circadian variation in urgent operative deliveries.
METHODS
All urgent caesarean sections between 1 January 2014 and 1 January 2015 with known exact onset times of operation were included in this retrospective study. Cases that were previously scheduled for elective caesarean section were excluded. Information regarding age, delivery date, onset time of operation and type of anaesthesia was collected from the database. Analyses were completed using the Statistical Package for Social Sciences (SPSS Inc., Chicago, IL, USA) version 20.0 software. The statistical significance for all analyses was set at p<0.05.
RESULTS
A total of 285 urgent caesarean section deliveries were included in the study. There were 126 (44.2%) deliveries during the day shift and 159 (55.8%) during the night shift. 80 patients (28.1%) received general anaesthesia and 65 (22.8%) received spinal anaesthesia in the morning shift, whereas 54 patients (18.9%) received general anaesthesia and 86 (30.2%) received spinal anaesthesia during the night shift.
CONCLUSION
The present study suggested that urgent caesarean sections revealed a circadian rhythm during the day.
目的
本研究的主要目的是证明紧急手术分娩中可能存在昼夜节律变化。
方法
本回顾性研究纳入了2014年1月1日至2015年1月1日期间所有已知确切手术开始时间的紧急剖宫产病例。排除先前计划进行择期剖宫产的病例。从数据库中收集有关年龄、分娩日期、手术开始时间和麻醉类型的信息。使用社会科学统计软件包（SPSS Inc.，美国伊利诺伊州芝加哥）20.0版软件完成分析。所有分析的统计学显著性设定为p<0.05。
结果
本研究共纳入285例紧急剖宫产分娩病例。日班期间有126例（44.2%）分娩，夜班期间有159例（55.8%）。早班时有80例患者（28.1%）接受全身麻醉，65例（22.8%）接受脊髓麻醉，而夜班期间有54例患者（18.9%）接受全身麻醉，86例（30.2%）接受脊髓麻醉。
结论
本研究表明，紧急剖宫产在白天呈现昼夜节律。
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