麻醉诱导前静脉输注利多卡因对子宫切除术患者睡眠质量的影响

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Effect of IntravenousLidocaine Infusion Before Anesthesia Inductionon SleepQuality in Patients Undergoing Hysterectomy

LI Xiaobao

（Department of Anesthesiology，Fuzhou First General Hospital，Fuzhou 35ooOO，China）

AbstractObjective：Toexploretheefectof intravenous lidocaine infusionbeforeanesthesia inductiononpostoperativesleep qualityandpain inpatientsundergoing hysterectomy.Methods：Aretrospectivestudywas conducted involving 8Opatients whounderwenthysterectomyinFuzhouFistGeneralHospitalfromFebruary2023toJune2O24.Acoding todiferentanestesiainductionmethods，thepatientsweredivided intoacontrolgroupandanobservationgroup，with4Ocases ineachgroup.Thecontrol groupreceived intravenous normal salinebeforeanesthesiainduction，whiletheoservation groupreceived intravenous lidocaine beforeanesthesia induction.The treatment processof both groups was followedupand recorded.Sleepqualityassessed bythe Pitsburgh SlepQualityIndex（PSQI），pain intensityassessd bythe VisualAnalogueScale（VAS），psychological statusassesed bytheSelf-Rating AnxietyScale（SAS）andthe Self-Rating Depresion Scale（SDS），insomniaseverityassessed bythe Insomnia Severity Index（ISI），daytimeslepiness assssdbytheEpworthSleepinessScale（ESS），polysomnography（PSG）inicators，and qualityoflifeasessed bytheShortForm-36 Health Survey（SF-36）werecompared between thetwo groups.Results：Follow-up results showedthatthePSQI，VAS，SAS，andSDSscores intheobservationgroupweresignificantlylowerthanthoseithecontrol group（ P<0.05， ）.The ISI andESS scores in the observation group were lower than those in the control group，while the sleep fficiencymonitoredbyPSGandthequalityoflifescoreswerehigherthanthoseinthecontrolgroup，withstatisticallsignificant differences（ P<0.05 ）. Conclusion：Intravenous lidocaine infusion before anesthesia induction can efectively relieve postoperativepainandsignificantlyimprovepostopeativesepqualityinptintsudergoinghterectoyanditisorthyofprootionin clinical practice.

KeywordsAnesthesia induction；Intravenous infusion；Lidocaine；Pain；Sleequality；Qualityof ife；Sleepeficiency；Psy chological status

中图分类号：R246.2;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.12.017

腹腔镜子宫切除术因具有创伤小、出血少、疼痛轻、恢复快及住院时间短等优势，这种手术方式已经成为现阶段治疗子宫良性肿瘤等妇科常见疾病的首选治疗方案，成为替代传统开腹手术的重要选择[1-2]。（剩余4650字）