The Effects Of Intravenous And Inhaled Anesthetics On Early Sleep Quality In Patients Undergoing Laparoscopic Gynecological Surgery

Objective: To evaluate the effects of intravenous anesthesia propofol and inhaled anesthesia sevoflurane on the quality of early sleep in patients undergoing laparoscopic gynecological surgery.Methods: A total of 60 patients undergoing laparoscopic gynecological surgery were selected and divided into two groups,P and S,30 patients in group P,30 patients in group S.Patients in group P were maintained anesthetized with propofol intravenous pumping,and patients in group S were anesthetized with sevoflurane inhalation.Both groups of patients received intravenous remifentanil for analgesia,and the depth of anesthesia was measured with bispectralindex(BIS)to the end of the operation.The polysomnography(PSM)was used to monitor the sleep of patients in the two groups on the night before surgery and the night after surgery.The differences of the total sleep time before and after surgery,the proportion of each sleep phase,and the effects of different anesthetics on early sleep quality were compared between the two groups.Results: The proportion of awakening period,rapid eye movement sleep period(REM period)and mild sleep period(N1)period in group S were higher than those in group P(p <0.0001);the proportion of moderate sleep(N2)and deep sleep period(N3)were lower than those in group P(p <0.0001);the total sleep duration in group S was shorter than that in group P,and the difference was statistically significant.Conclusion: Compared with the inhaled anesthetic sevoflurane,the intravenous drug propofol can reduce the incidence of early sleep disorders in patients after surgery,and has more positive significance for the regulation of sleep homeostasis after surgery.