JIN Di, NIE Weihua, REN Liying, SHEN Le. Research Progress on the Influence of Perioperative Sleep Quality on Postoperative Pain[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(4): 897-903. DOI: 10.12290/xhyxzz.2023-0615
Citation: JIN Di, NIE Weihua, REN Liying, SHEN Le. Research Progress on the Influence of Perioperative Sleep Quality on Postoperative Pain[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(4): 897-903. DOI: 10.12290/xhyxzz.2023-0615

Research Progress on the Influence of Perioperative Sleep Quality on Postoperative Pain

Funds: 

National High Level Hospital Clinical Research Funding 2022-PUMCH-B-007

CAMS Innovation Fund for Medical Sciences 2023-I2M-1-004

More Information
  • Corresponding author:

    SHEN Le, E-mail: pumchshenle@163.com

  • Received Date: December 12, 2023
  • Accepted Date: February 21, 2024
  • Publish Date: March 31, 2024
  • Issue Publish Date: July 29, 2024
  • Postoperative pain, a common problem in perioperative management, has negative impact on patients' experience and functional recovery. The development of postoperative pain is not only related to direct surgical trauma, but also a series of preventable perioperative risk factors, among which perioperative sleep quality should not be neglected. In recent years, more and more researches have indicated that poor perioperative sleep quality is a risk factor for both acute and chronic postoperative pain, and some researches have even pointed out that sleep quality can directly influence patients' pain threshold. Therefore, this review aims to summarize current research progress on the influence of perioperative sleep quality on postoperative pain, hoping to provide reference for improving the perioperative pain management for patients.

  • [1]
    Gan T J, Habib A S, Miller T E, et al. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey[J]. Curr Med Res Opin, 2014, 30(1): 149-160. DOI: 10.1185/03007995.2013.860019
    [2]
    Zhang Y E, Xu X F, Gong R R. Postoperative pain management outcomes at a Chinese hospital: a cross-sectional survey[J]. J Perianesth Nurs, 2023, 38(3): 434-439. DOI: 10.1016/j.jopan.2022.07.002
    [3]
    Jin J Y, Peng L H, Chen Q B, et al. Prevalence and risk factors for chronic pain following cesarean section: a prospective study[J]. BMC Anesthesiol, 2016, 16(1): 99. DOI: 10.1186/s12871-016-0270-6
    [4]
    Zhang Y Y, Zhou R, Hou B L, et al. Incidence and risk factors for chronic postsurgical pain following video-assisted thoracoscopic surgery: a retrospective study[J]. BMC Surg, 2022, 22(1): 76. DOI: 10.1186/s12893-022-01522-1
    [5]
    Perkins F M, Kehlet H. Chronic pain as an outcome of surgery. A review of predictive factors[J]. Anesthesiology, 2000, 93(4): 1123-1133. DOI: 10.1097/00000542-200010000-00038
    [6]
    Glare P, Aubrey K R, Myles P S. Transition from acute to chronic pain after surgery[J]. Lancet, 2019, 393(10180): 1537-1546. DOI: 10.1016/S0140-6736(19)30352-6
    [7]
    刘星扬, 郭立哲, 王锷. 老年患者睡眠障碍对术后康复影响的研究进展[J]. 中华麻醉学杂志, 2021, 41(7): 888-892. DOI: 10.3760/cma.j.cn131073.20210308.00730

    Liu X Y, Guo L Z, Wang E. Progress in effect of sleep disorders on postoperative recovery in elderly patients[J]. Chin J Anesthesiol, 2021, 41(7): 888-892. DOI: 10.3760/cma.j.cn131073.20210308.00730
    [8]
    谷岩, 徐广明, 尹慧芳. 天津市18岁及以上社区人群睡眠质量调查[J]. 中国心理卫生杂志, 2015, 29(3): 199-203. DOI: 10.3969/j.issn.1000-6729.2015.03.008

    Gu Y, Xu G M, Yin H F. Epidemiologic study on sleep quality of community population aged 18 years or over in Tianjin[J]. Chin Ment Health J, 2015, 29(3): 199-203. DOI: 10.3969/j.issn.1000-6729.2015.03.008
    [9]
    陈惟义, 周泽文, 刘颖春, 等. 广西35~74岁壮族人群睡眠状况及其影响因素分析[J]. 现代预防医学, 2022, 49(2): 289-294. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202202021.htm

    Chen W Y, Zhou Z W, Liu Y C, et al. Analysis of sleep status and influencing factors of Zhuang people aged 35 to 74 in Guangxi[J]. Mod Prev Med, 2022, 49(2): 289-294. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202202021.htm
    [10]
    赵秋彦, 唐小红, 黄新桥, 等. 围绝经期妇女睡眠质量及影响因素的研究[J]. 中国妇幼健康研究, 2014, 25(5): 752-754. DOI: 10.3969/j.issn.1673-5293.2014.05.014

    Zhao Q Y, Tang X H, Huang X Q, et al. Sleep quality and its influencing factors of perimenopausal women[J]. Chin J Woman Child Health Res, 2014, 25(5): 752-754. DOI: 10.3969/j.issn.1673-5293.2014.05.014
    [11]
    王玉珠, 柳莹, 姜允琦, 等. 全膝关节置换患者围术期睡眠质量及影响因素分析[J]. 中华关节外科杂志(电子版), 2022, 16(2): 167-173.

    Wang Y Z, Liu Y, Jiang Y Q, et al. Investigation of perioperative sleep quality and its risk factors in patients undergoing total knee arthroplasty[J]. Chin J Joint Surg Electron Ed, 2022, 16(2): 167-173.
    [12]
    Buysse D J, Reynolds C F 3rd, Monk T H, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research[J]. Psychiatry Res, 1989, 28(2): 193-213. DOI: 10.1016/0165-1781(89)90047-4
    [13]
    刘贤臣, 唐茂芹, 胡蕾, 等. 匹兹堡睡眠质量指数的信度和效度研究[J]. 中华精神科杂志, 1996, 29(2): 103-107. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHMA199602018.htm

    Liu X C, Tang M Q, Hu L, et al. Reliability and validity of the Pittsburgh sleep quality index[J]. Chin J Psychiatry, 1996, 29(2): 103-107. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHMA199602018.htm
    [14]
    Yang M M H, Hartley R L, Leung A A, et al. Preoperative predictors of poor acute postoperative pain control: a systematic review and meta-analysis[J]. BMJ Open, 2019, 9(4): e025091. DOI: 10.1136/bmjopen-2018-025091
    [15]
    Wang J P, Lu S F, Guo L N, et al. Poor preoperative sleep quality is a risk factor for severe postoperative pain after breast cancer surgery: a prospective cohort study[J]. Medicine (Baltimore), 2019, 98(44): e17708. DOI: 10.1097/MD.0000000000017708
    [16]
    Yao Z W, Zhao B C, Yang X, et al. Relationships of sleep disturbance, intestinal microbiota, and postoperative pain in breast cancer patients: a prospective observational study[J]. Sleep Breath, 2021, 25(3): 1655-1664. DOI: 10.1007/s11325-020-02246-3
    [17]
    Rabbitts J A, Groenewald C B, Tai G G, et al. Presurgical psychosocial predictors of acute postsurgical pain and quality of life in children undergoing major surgery[J]. J Pain, 2015, 16(3): 226-234. DOI: 10.1016/j.jpain.2014.11.015
    [18]
    Wright C E, Bovbjerg D H, Montgomery G H, et al. Disrupted sleep the night before breast surgery is associated with increased postoperative pain[J]. J Pain Symptom Manage, 2009, 37(3): 352-362. DOI: 10.1016/j.jpainsymman.2008.03.010
    [19]
    Mamie C, Bernstein M, Morabia A, et al. Are there reliable predictors of postoperative pain?[J]. Acta Anaesthesiol Scand, 2004, 48(2): 234-242. DOI: 10.1111/j.0001-5172.2004.00298.x
    [20]
    Kammel J, Messerer B, Avian A, et al. Post-operative sleep quality and pain in children and adolescents[J]. Saf Health, 2015, 1(S1): A4. DOI: 10.1186/2056-5917-1-S1-A4
    [21]
    Chouchou F, Khoury S, Chauny J M, et al. Postoperative sleep disruptions: a potential catalyst of acute pain?[J]. Sleep Med Rev, 2014, 18(3): 273-282. DOI: 10.1016/j.smrv.2013.07.002
    [22]
    Chen A F, Orozco F R, Austin L S, et al. Prospective evaluation of sleep disturbances after total knee arthroplasty[J]. J Arthroplasty, 2016, 31(1): 330-332. DOI: 10.1016/j.arth.2015.07.044
    [23]
    Gong L, Wang Z H, Fan D. Sleep quality effects recovery after total knee arthroplasty(TKA)--A randomized, double-blind, controlled study[J]. J Arthroplasty, 2015, 30(11): 1897-1901. DOI: 10.1016/j.arth.2015.02.020
    [24]
    Treede R D, Rief W, Barke A, et al. A classification of chronic pain for ICD-11[J]. Pain, 2015, 156(6): 1003-1007. DOI: 10.1097/j.pain.0000000000000160
    [25]
    Bjurström M F, Irwin M R, Bodelsson M, et al. Preopera-tive sleep quality and adverse pain outcomes after total hip arthroplasty[J]. Eur J Pain, 2021, 25(7): 1482-1492. DOI: 10.1002/ejp.1761
    [26]
    Soni A, Bartling A, Wanigasekera V, et al. Sleep distur-bance is associated with more severe pain and worse outcome following knee replacement surgery in patients with knee osteoarthritis[J]. Br J Pain, 2020, 14(S1): 8-9.
    [27]
    Luo Z Y, Li L L, Wang D, et al. Preoperative sleep quality affects postoperative pain and function after total joint arthroplasty: a prospective cohort study[J]. J Orthop Surg Res, 2019, 14(1): 378. DOI: 10.1186/s13018-019-1446-9
    [28]
    Schreiber K L, Zinboonyahgoon N, Flowers K M, et al. Prediction of persistent pain severity and impact 12 months after breast surgery using comprehensive preoperative assessment of biopsychosocial pain modulators[J]. Ann Surg Oncol, 2021, 28(9): 5015-5038. DOI: 10.1245/s10434-020-09479-2
    [29]
    Baeyens M, Neckebroek M, De Paepe A, et al. ESRA19-0235 Screening for psychosocial variables that predict chronic postsurgical pain[J]. Reg Anesth Pain Med, 2019, 44(S1): A234.
    [30]
    Rabbitts J A, Palermo T M, Zhou C, et al. Psychosocial predictors of acute and chronic pain in adolescents undergoing major musculoskeletal surgery[J]. J Pain, 2020, 21(11/12): 1236-1246.
    [31]
    Varallo G, Giusti E M, Manna C, et al. Sleep disturbances and sleep disorders as risk factors for chronic postsurgical pain: A systematic review and meta-analysis[J]. Sleep Med Rev, 2022, 63: 101630. DOI: 10.1016/j.smrv.2022.101630
    [32]
    Walker J, Campbell C, Pejsa M, et al. (350) Pre- and post-operative sleep is associated with post-operative pain and functioning following total knee replacements[J]. J Pain, 2015, 16(4, Supplement): S63.
    [33]
    Rhon D I, Snodgrass S J, Cleland J A, et al. Comorbid insomnia and sleep apnea are associated with greater downstream health care utilization and chronic opioid use after arthroscopic hip surgery[J]. Pain Physician, 2019, 22(4): E351-E360.
    [34]
    Hastie B, Klodell C, Frye R, et al. Tick-Tock. . . genes working round the clock: associations with sleep and acute and chronic post-thoracotomy pain[J]. J Pain, 2013, 14(4, Supplement): S33.
    [35]
    Eichhorn N, Treede R D, Schuh-Hofer S. The role of sex in sleep deprivation related changes of nociception and conditioned pain modulation[J]. Neuroscience, 2018, 387: 191-200. DOI: 10.1016/j.neuroscience.2017.09.044
    [36]
    Hijma H, Koopmans I, Klaassen E, et al. A crossover study evaluating the sex-dependent and sensitizing effects of sleep deprivation using a nociceptive test battery in healthy subjects[J]. Br J Clin Pharmacol, 2023, 89(1): 361-371. DOI: 10.1111/bcp.15505
    [37]
    Roehrs T, Hyde M, Blaisdell B, et al. Sleep loss and REM sleep loss are hyperalgesic[J]. Sleep, 2006, 29(2): 145-151. DOI: 10.1093/sleep/29.2.145
    [38]
    Azevedo E, Manzano G M, Silva A, et al. The effects of total and REM sleep deprivation on laser-evoked potential threshold and pain perception[J]. Pain, 2011, 152(9): 2052-2058. DOI: 10.1016/j.pain.2011.04.032
    [39]
    Tiede W, Magerl W, Baumg rtner U, et al. Sleep restriction attenuates amplitudes and attentional modulation of pain-related evoked potentials, but augments pain ratings in healthy volunteers[J]. Pain, 2010, 148(1): 36-42. DOI: 10.1016/j.pain.2009.08.029
    [40]
    Lautenbacher S, Kundermann B, Krieg J C. Sleep deprivation and pain perception[J]. Sleep Med Rev, 2006, 10(5): 357-369. DOI: 10.1016/j.smrv.2005.08.001
    [41]
    Huang Y L, Hao J, Yang X L, et al. Pretreatment of the ROS inhibitor phenyl-N-tert-butylnitrone alleviates sleep deprivation-induced hyperalgesia by suppressing microglia activation and NLRP3 inflammasome activity in the spinal dorsal cord[J]. Neurochem Res, 2023, 48(1): 305-314. DOI: 10.1007/s11064-022-03751-5
    [42]
    Yang H K, Zhang Y F, Duan Q L, et al. Dehydrocorydaline alleviates sleep deprivation-induced persistent postoperative pain in adolescent mice through inhibiting microglial P2Y12 receptor expression in the spinal cord[J]. Mol Pain, 2023, 19: 17448069231216234. DOI: 10.1177/17448069231216234
    [43]
    Wei S N, Zhang H, Lu Y, et al. Microglial voltage-dependent anion channel 1 signaling modulates sleep deprivation-induced transition to chronic postsurgical pain[J]. Sleep, 2023, 46(11): zsad039. DOI: 10.1093/sleep/zsad039
    [44]
    Li Q, Zhu Z Y, Lu J, et al. Sleep deprivation of rats increases postsurgical expression and activity of L-type calcium channel in the dorsal root ganglion and slows recovery from postsurgical pain[J]. Acta Neuropathol Commun, 2019, 7(1): 217. DOI: 10.1186/s40478-019-0868-2
    [45]
    Xue J J, Li H L, Xu Z Q, et al. Paradoxical sleep deprivation aggravates and prolongs Incision-Induced pain hypersensitivity via BDNF Signaling-Mediated descending facilitation in rats[J]. Neurochem Res, 2018, 43(12): 2353-2361. DOI: 10.1007/s11064-018-2660-2
    [46]
    Guo M M, Wu Y X, Zheng D H, et al. Preoperative acute sleep deprivation causes postoperative pain hypersensitivity and abnormal cerebral function[J]. Neurosci Bull, 2022, 38(12): 1491-1507. DOI: 10.1007/s12264-022-00955-1
    [47]
    Borazan H, Tuncer S, Yalcin N, et al. Effects of preoperative oral melatonin medication on postoperative analgesia, sleep quality, and sedation in patients undergoing elective prostatectomy: a randomized clinical trial[J]. J Anesth, 2010, 24(2): 155-160. DOI: 10.1007/s00540-010-0891-8
    [48]
    Andersen L P H, Werner M U, Rosenberg J, et al. A systematic review of peri-operative melatonin[J]. Anaesthesia, 2014, 69(10): 1163-1171. DOI: 10.1111/anae.12717
    [49]
    Xiao Z N, Long B, Zhao Z J. The effect of improving preoperative sleep quality on perioperative pain by zolpidem in patients undergoing laparoscopic colorectal surgery: a prospective, randomized study[J]. Pain Res Manag, 2022, 2022: 3154780.
    [50]
    Chen Z L, Tang R D, Zhang R, et al. Effects of dexmedetomidine administered for postoperative analgesia on sleep quality in patients undergoing abdominal hysterectomy[J]. J Clin Anesth, 2017, 36: 118-122. DOI: 10.1016/j.jclinane.2016.10.022
    [51]
    Roehrs T A, Roth T. Increasing presurgery sleep reduces postsurgery pain and analgesic use following joint replacement: a feasibility study[J]. Sleep Med, 2017, 33: 109-113. DOI: 10.1016/j.sleep.2017.01.012
    [52]
    Yang Y, Zhang H B, Li Y L, et al. The effectiveness of computer-assisted Cognitive Behavioral Therapy (cCBT) for psychological outcomes in patients with laryngectomy: Randomized controlled trial[J]. J Affect Disord, 2022, 300: 59-65. DOI: 10.1016/j.jad.2021.12.068
    [53]
    Lunn T H, Frokjaer V G, Hansen T B, et al. Analgesic effect of perioperative escitalopram in high pain catastrophizing patients after total knee arthroplasty: a randomized, double-blind, placebo-controlled trial[J]. Anesthesiology, 2015, 122(4): 884-894. DOI: 10.1097/ALN.0000000000000597
    [54]
    Qiu D, Wang X M, Yang J J, et al. Effect of intraoperative esketamine infusion on postoperative sleep disturbance after gynecological laparoscopy: a randomized clinical trial[J]. JAMA Netw Open, 2022, 5(12): e2244514. DOI: 10.1001/jamanetworkopen.2022.44514
    [55]
    Le Guen M, Nicolas-Robin A, Lebard C, et al. Earplugs and eye masks vs routine care prevent sleep impairment in post-anaesthesia care unit: a randomized study[J]. Br J Anaesth, 2014, 112(1): 89-95. DOI: 10.1093/bja/aet304
    [56]
    Su X, Wang D X. Improve postoperative sleep: what can we do?[J]. Curr Opin Anaesthesiol, 2018, 31(1): 83-88. DOI: 10.1097/ACO.0000000000000538
    [57]
    Song Y N, Liu Y J, Yuan Y, et al. Effects of general versus subarachnoid anaesthesia on circadian melatonin rhythm and postoperative delirium in elderly patients undergoing hip fracture surgery: a prospective cohort clinical trial[J]. EBioMedicine, 2021, 70: 103490. DOI: 10.1016/j.ebiom.2021.103490
    [58]
    Kjølhede P, Langström P, Nilsson P, et al. The impact of quality of sleep on recovery from fast-track abdominal hysterectomy[J]. J Clin Sleep Med, 2012, 8(4): 395-402. DOI: 10.5664/jcsm.2032
    [59]
    Shen S P, Wang Y J, Zhang Q, et al. Improved periopera-tive sleep quality or quantity reduces pain after total hip or knee arthroplasty: a systematic review and meta-analysis[J]. Orthop Surg, 2021, 13(4): 1389-1397. DOI: 10.1111/os.12985
  • Related Articles

    [1]LIN Shuantong, SU Xiaojun, CAO Dequan. Research Progress of Perioperative Anesthesia Management in Patients with Hypertrophic Cardiomyopathy[J]. Medical Journal of Peking Union Medical College Hospital, 2025, 16(1): 192-197. DOI: 10.12290/xhyxzz.2024-0200
    [2]XUE Jianjun, WANG Caihong, GUO Lingling, LI Xiuxia, ZHANG Jie, XU Ziqing, HOU Huaijing, YANG Kehu. Evidence Graph Analysis of Postoperative Pain Sensitization Induced by Perioperative Sleep Deprivation[J]. Medical Journal of Peking Union Medical College Hospital, 2025, 16(1): 143-156. DOI: 10.12290/xhyxzz.2024-0075
    [3]CHEN Weiyun, DAI Yi, QIAN Min, LIANG Jinqian. Perioperative Management of SEPN1-Related Myopathy Accompanying Scoliosis: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2024-0428
    [4]LIU Weikang, CHEN Yiran, YANG Yinmo. Perioperative Hot Issues and Management Strategies for Pancreatic Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(4): 740-746. DOI: 10.12290/xhyxzz.2024-0407
    [5]CHEN Fei, ZHANG Yuguan, ZHU Bo. Prospects of Digital Medicine in Postoperative Pain Management in Children[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(2): 279-284. DOI: 10.12290/xhyxzz.2023-0429
    [6]LIU Chaoqun, ZHU Bo, SHEN Le, HUANG Yuguang. New Progress in Postoperative Management of Pediatric Ambulatory Surgery[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(6): 999-1003. DOI: 10.12290/xhyxzz.20200272
    [7]YU Jiren, WANG E, WANG Difen, CANG Jing, FENG Yi, ZHANG Xijing, YANG Yi, YANG Yunmei, WU Shuijing, WANG Weijian, DU Bin, SHANG You, LIN Ru, CHENG Baoli, XIE Guohao, FANG Xiangming. Expert Consensus on Perioperative Management of Elderly Septic Patients (2021)[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(4): 481-489. DOI: 10.12290/xhyxzz.2021-0312
    [8]Xiang YAN, Min ZENG, Jia DONG, Yu-ming PENG, Ru-quan HAN. The Application of Enhanced Recovery after Surgery in Perioperative Anesthesia Management of Neurosurgery[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(6): 615-620. DOI: 10.3969/j.issn.1674-9081.2019.06.012
    [9]Hai-yuan LIU, Yuan REN, Da-wei SUN. Perioperative Management of the Program of Enhanced Recovery after Surgery in Gynecology[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(6): 501-507. DOI: 10.3969/j.issn.1674-9081.2018.06.005
    [10]Zhi-li LIU, Chang-wei LIU, Xiao-jun SONG, Yu CHEN, Leng NI, Rong ZENG, Jiang SHAO, Yong-jun LI. Perioperative Blood Transfusion Management in Vascular Surgery[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(4): 291-295. DOI: 10.3969/j.issn.1674-9081.2015.04.012

Catalog

    Article Metrics

    Article views (253) PDF downloads (26) Cited by()
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close