術(shù)后鎮(zhèn)痛方式對心外重癥患者睡眠狀況的干預(yù)效果

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AbstractObjective：Toinvestigatethefectsof individualizedmultimodalpostoperativeanalgesiaonslepqualitynalgesic eficacyandcomplicationsincriticallillcardiacsurgerypatients.Methods：Atotalof8Ocriticallyillpatientshounderwent cardiacsurgeryand wereadmited totheCardiac Surgery Intensive Care Unitat Qilu Hospitalof Shandong Universitywereenrolled between January 2022andDecember 2O24.Participantswererandomlydividedintoacontrol groupandanobservation group（ n=40 per group）using a random number table.The control group received conventional patient-controlled intravenous analgesia（PCIA）.Theobservation groupreceived individualizedmultimodal analgesia，combining PCIA withregional anesthesia， nerveblocks，and non-pharmacological interventions.The Pitsburgh SleepQuality Index（PSQI）wasused tocomparethesleep qualityof thetwo groups，andthe VisualAnalogue Scale（VAS）wasused toevaluatethepain improvement efectofthe wo groups，andthe incidenceofcomplications wascomparedbetweenthetwo groups.Results：After theintervention，thePSQIscore intheobservationgroupwassignificantlylowerthanthatinthecontrolgroup，theVASscoreintheobservation groupwassignificantlylowerthanthatinthecontrolgroup，andtheincidenceofcomplicationsinthebservationgroupwassignificantlylowerhan thatin the control group，with statistical significance（ P<0.05， ）.Conclusion：Individualized multimodal analgesia can efectively aleviatespostoperativepain，iproves sleepqualityandreduces theincidenceofcomplications，whichhas importantclinicalapplication value.

KeywordsCardiac surgery；Critically ill； Postoperative analgesia； Sleep quality；Multimodal analgesia中圖分類號：R338.63;R248.2 文獻標(biāo)識碼：A doi：10.3969/j. issn.2095-7130.2025.04.003

心外科手術(shù)創(chuàng)傷大、時間長、疼痛重，術(shù)后易引發(fā)嚴(yán)重疼痛與睡眠障礙。（剩余5397字）