Observing The Effect Of Gender On Perioperative Sleep Quality And Pain In Patients Undergoing Visual Thoracoscopy

Objective: The purpose of this study was to investigate the effect of gender on postoperative sleep quality and pain in patients undergoing visual thoracoscopic surgery under general anesthesia.Research methods: A total of 213 patients undergoing elective visual thoracoscopic surgery were selected according to the inclusion and exclusion criteria,and 156 were included in the study after age matching,including 79 in the male group and 79 in the female group.All patients included in this study were assessed for sleep and cognitive function using the Athens Insomnia Scale(AIS),the Mini-mental State Examination(MMSE)on the day before,the first night after,and the third night after surgery.Their pain levels were assessed using the Visual Analogue Scale(VAS)one day before,24 hours after,and 72 hours after surgery.The patients’ blood test values,including platelet count,neutrophil count and lymphocyte count,were also collected on the day before and the day after surgery to calculate the peripheral blood system immune-inflammation index(SII,platelet count × neutrophil count / lymphocyte count).The peripheral hematologic systemic immune-inflammation index(SII)was used as an index of perioperative inflammatory response.Adverse reactions occurred on the first and third postoperative day in both groups were recorded.To compare any differences between the two groups of patients in terms of sleep,cognitive function,pain level,perioperative inflammatory response index and postoperative adverse reactions.Results: The AIS scores were higher in the female group than in the male group on the first and third postoperative days(P=0.012,P=0.038).There was no significant difference in MMSE scores between the two groups during the perioperative period.At24 hours after surgery,pain scores(resting pain and cough pain)were significantly higher in the female group than in the male group(both P<0.001).Postoperative SII increased and was statistically significant in both groups compared to preoperative SII(both P<0.001).In the comparison regarding postoperative adverse effects the female group was more likely to experience nausea and vomiting and dizziness than the male group.Conclusions: In patients undergoing visual thoracoscopic surgery,female patients had worse postoperative sleep quality,higher levels of postoperative inflammation and pain,and greater incidence of postoperative nausea and vomiting compared to men.