BLOOD GLUCOSE ALTERATIONS IN SPINAL ANESTHESIA VERSUS GENERAL ANESTHESIA IN THOSE UNDERGOING CESAREAN SECTION DELIVERY: A COHORT STUDY

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MANAFI A.; ZAKERI H.; SALAHYAN F; TAVASSOLI M.; SHEKOOHI F.; KOKABI R.; KHAZFOROOSH S.

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Journal: JOURNAL OF ADVANCED BIOMEDICAL SCIENCES Year:2015 | Volume:5 | Issue:1 Page(s): 44-50

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Title

BLOOD GLUCOSE ALTERATIONS IN SPINAL ANESTHESIA VERSUS GENERAL ANESTHESIA IN THOSE UNDERGOING CESAREAN SECTION DELIVERY: A COHORT STUDY

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Keywords

BLOOD GLUCOSE ALTERATIONSQ2

SPINAL ANESTHESIAQ2

GENERAL ANESTHESIAQ3

CESAREAN SECTIONQ3

Abstract

Background & Objective: Major body injury or surgery is associated with metabolic and hormonal responses. Alterations in blood glucose levels is one of the necessary metabolic changes to surgical stress. One of the most effective ways to decline the endocrine-metabolic response is SPINAL ANESTHESIA. Therefore, we conducted this study to compare blood glucose levels before, during, and after surgery in order to complete the pieces of anesthesia puzzle.Materials & Methods: This study was a retrospective cohort study performed on 126 patients aged between 18-38 years old selected for CESAREAN SECTION. Group one included 63 women with SPINAL ANESTHESIA and group two included 63 patients with GENERAL ANESTHESIA. Glucose levels were recorded by glucometer 30 min before surgery, during operation, and 30 min after surgery.Results: The average of the blood glucose levels in SPINAL ANESTHESIA group was significantly different between the three measurements (P-value = 0.007). In addition, in the GENERAL ANESTHESIA group, these differences were more significant (Pvalue < 0.001). Mean of blood glucose 30 min before surgery in spinal and GENERAL ANESTHESIA were 81.49±14.64 and 84.09±10.95, respectively (p value = 0.26), and during surgery they were 86.50±23.49 and 90.74±17.82 (P-value = 0.256), and finally 30 min after operation they were 79.93±18.35 and 94.87±16.32 respectively (P-value < 0.001). Conclusion: SPINAL ANESTHESIA is more effective to decease blood sugar alterations and its adverse effects on mothers’ hormonal system during CESAREAN SECTIONs.

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APA: Copy

MANAFI, A., ZAKERI, H., SALAHYAN, F, TAVASSOLI, M., SHEKOOHI, F., KOKABI, R., & KHAZFOROOSH, S.. (2015). BLOOD GLUCOSE ALTERATIONS IN SPINAL ANESTHESIA VERSUS GENERAL ANESTHESIA IN THOSE UNDERGOING CESAREAN SECTION DELIVERY: A COHORT STUDY. JOURNAL OF ADVANCED BIOMEDICAL SCIENCES, 5(1 ), 44-50. SID. https://sid.ir/paper/204012/en

Vancouver: Copy

MANAFI A., ZAKERI H., SALAHYAN F, TAVASSOLI M., SHEKOOHI F., KOKABI R., KHAZFOROOSH S.. BLOOD GLUCOSE ALTERATIONS IN SPINAL ANESTHESIA VERSUS GENERAL ANESTHESIA IN THOSE UNDERGOING CESAREAN SECTION DELIVERY: A COHORT STUDY. JOURNAL OF ADVANCED BIOMEDICAL SCIENCES[Internet]. 2015;5(1 ):44-50. Available from: https://sid.ir/paper/204012/en

IEEE: Copy

A. MANAFI, H. ZAKERI, F SALAHYAN, M. TAVASSOLI, F. SHEKOOHI, R. KOKABI, and S. KHAZFOROOSH, “BLOOD GLUCOSE ALTERATIONS IN SPINAL ANESTHESIA VERSUS GENERAL ANESTHESIA IN THOSE UNDERGOING CESAREAN SECTION DELIVERY: A COHORT STUDY,” JOURNAL OF ADVANCED BIOMEDICAL SCIENCES, vol. 5, no. 1 , pp. 44–50, 2015, [Online]. Available: https://sid.ir/paper/204012/en

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