Volume 16, Issue 1 (5-2025)
JAP 2025, 16(1): 24-34 |
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Ethics code: IR.GMU.REC.1402.187
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ghasemzase Z S, basiri mighadam M, sajadi M. Comparison the effect of general and spinal anesthesia on blood sugar after cesarean section surgery. JAP 2025; 16 (1) :24-34
URL: http://jap.iums.ac.ir/article-1-5783-en.html
URL: http://jap.iums.ac.ir/article-1-5783-en.html
Comparison the effect of general and spinal anesthesia on blood sugar after cesarean section surgery
1- 1. Master’s Student in Critical Care Nursing, Department of Medical-Surgical Nursing, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran
2- 2. Associate Professor, Department of Medical-Surgical Nursing, School of Nursing, Nursing Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
3- 3. Professor, Department of Medical-Surgical Nursing, School of Nursing, Nursing Research Center, Gonabad University of Medical Sciences, Gonabad, Iran ,sajjadi1975@gmail.com
2- 2. Associate Professor, Department of Medical-Surgical Nursing, School of Nursing, Nursing Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
3- 3. Professor, Department of Medical-Surgical Nursing, School of Nursing, Nursing Research Center, Gonabad University of Medical Sciences, Gonabad, Iran ,
Abstract: (81 Views)
Introduction: One of the consequences of common and major surgeries such as cesarean section is hyperglycemia, which has many complications, including delayed wound healing, complications in vital body systems, and increased mortality and morbidity. Therefore, the present study was conducted to compare the effects of general anesthesia and spinal anesthesia on blood sugar after cesarean section. Materials and Methods: This study is an analytical-comparative study conducted on 40 patients who referred to Allameh Bahloul Gonabad Hospital and Shohada Qain Hospital for cesarean section. In the spinal group, spinal anesthesia was performed at the level of the third and fourth or fourth and fifth lumbar vertebrae using bupivacaine using a 24-gauge needle, and in the general anesthesia group, they were anesthetized with the same method and similar drugs and underwent cesarean section. Due to the effect of anxiety on blood sugar, an anxiety questionnaire was completed by the patient to measure preoperative anxiety. Blood sugar levels of patients in both groups were measured and recorded using a glucometer thirty minutes before surgery (in the waiting room), during surgery, and thirty minutes after surgery (in the recovery room), and were statistically analyzed and compared.
Results: The results showed that the two groups were homogeneous in terms of demographic variables (P < 0.05). The results of the analysis of variance with repeated observations showed that there was no significant difference between the two study groups in terms of mean blood sugar levels before, during, and after cesarean section (P < 0.05). However, blood sugar levels increased in both groups over time, and this increase was more significant after surgery than before and during surgery (P < 0.001).
Conclusion: Blood sugar levels of patients during cesarean section increased significantly in both groups, but there was no significant difference between the two groups, indicating that the type of anesthesia does not have much effect on blood sugar levels of patients undergoing cesarean section.
Results: The results showed that the two groups were homogeneous in terms of demographic variables (P < 0.05). The results of the analysis of variance with repeated observations showed that there was no significant difference between the two study groups in terms of mean blood sugar levels before, during, and after cesarean section (P < 0.05). However, blood sugar levels increased in both groups over time, and this increase was more significant after surgery than before and during surgery (P < 0.001).
Conclusion: Blood sugar levels of patients during cesarean section increased significantly in both groups, but there was no significant difference between the two groups, indicating that the type of anesthesia does not have much effect on blood sugar levels of patients undergoing cesarean section.
Type of Study: Applicable |
Subject:
Regional anesthesia
Received: 2025.02.11 | Accepted: 2025.04.14 | Published: 2025.05.31
Received: 2025.02.11 | Accepted: 2025.04.14 | Published: 2025.05.31
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