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Journals / Sağlık Hizmetleri Araştırma Dergisi / 2026 / Cilt: 4

Comparison of the Effects of General and Regional Anesthesia on Postoperative Pain and Quality of Recovery in Cesarean Section Operations

Sezaryen Operasyonlarında Genel ve Rejyonel Anestezinin Postoperatif Ağrı ve İyileşme Kalitesi Üzerine Etkilerinin Karşılaştırılması

Mertcan Ramazan Tek(İstinye Üniversitesi)0000-0000-0000-0001
Mustafa Oğuzhan Erol(İstinye Üniversitesi)0000-0000-0000-0000
Ayşe Banu Birlik(İstinye Üniversitesi)0000-0001-5148-3784
Meltem Yılmaz Coşar(İstinye Üniversitesi)0000-0003-1658-5122
Pages
82–90
Publication Date
2026-10-19
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

These findings suggest that both anesthetic techniques yield similar outcomes in terms of pain and recovery quality; nevertheless, the functional recovery advantage of regional anesthesia represents a clinically meaningful benefit within the framework of ERAS protocols.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Postoperative pain management in cesarean delivery is critical for early maternal mobilization and neonatal care.
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Key Findings & Data:A total of 75 patients aged 18–50 years (RA: n=39, GA: n=36) were enrolled between May 2025 and February 2026.
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Conclusion & Impact:These findings suggest that both anesthetic techniques yield similar outcomes in terms of pain and recovery quality; nevertheless, the functional recovery advantage of regional anesthesia represents a clinically meaningful benefit within the framework of ERAS protocols.
🔬Design:Survey & Empirical Study
📍Scope:2025 Verileri
⚙️Variables:Sezaryen · Rejyonel anestezi · Postoperatif ağrı

Abstract

Postoperative pain management in cesarean delivery is critical for early maternal mobilization and neonatal care. This prospective comparative study aimed to evaluate the effects of regional anesthesia (RA) and general anesthesia (GA) on postoperative pain intensity, recovery quality, and health-related quality of life in cesarean section patients. A total of 75 patients aged 18–50 years (RA: n=39, GA: n=36) were enrolled between May 2025 and February 2026. Pain was assessed using the Visual Analog Scale (VAS), recovery quality with the QoR-40 questionnaire, and quality of life with the SF-36 scale. VAS scores within the first 24 postoperative hours did not differ significantly between groups (RA: 5.95±2.19 vs. GA: 6.33±2.55; p=0.485). Total QoR-40 scores (RA: 167.20±19.27 vs. GA: 165.79±17.34; p=0.740) and all SF-36 subscales were also comparable between groups. However, time to first mobilization (p=0.004) and first oral intake (p=0.002) were significantly shorter in the RA group. These findings suggest that both anesthetic techniques yield similar outcomes in terms of pain and recovery quality; nevertheless, the functional recovery advantage of regional anesthesia represents a clinically meaningful benefit within the framework of ERAS protocols.

Özet

Sezaryen operasyonlarında postoperatif ağrı yönetimi, annenin erken mobilizasyonu ve yenidoğan bakımı açısından kritik önem taşımaktadır. Bu prospektif karşılaştırmalı çalışma, sezaryen operasyonlarında uygulanan rejyonel anestezi (RA) ve genel anestezi (GA) yöntemlerinin postoperatif ağrı şiddeti, iyileşme kalitesi ve yaşam kalitesi üzerindeki etkilerini değerlendirmeyi amaçlamıştır. Çalışmaya Mayıs 2025–Şubat 2026 tarihleri arasında 18–50 yaş arası toplam 75 hasta (RA: n=39, GA: n=36) dahil edilmiştir. Ağrı değerlendirmesinde Görsel Analog Skala (VAS), iyileşme kalitesi için QoR-40 ve yaşam kalitesi için KF-36 ölçekleri kullanılmıştır. Postoperatif ilk 24 saatteki VAS skorları gruplar arasında istatistiksel olarak anlamlı farklılık göstermemiştir (RA: 5,95±2,19 vs. GA: 6,33±2,55; p=0,485). QoR-40 toplam skorları (RA: 167,20±19,27 vs. GA: 165,79±17,34; p=0,740) ve KF-36'nın tüm alt boyutlarında da gruplar arasında anlamlı fark saptanmamıştır. Bununla birlikte, ilk mobilizasyon (p=0,004) ve ilk oral alım süreleri (p=0,002) RA grubunda istatistiksel olarak anlamlı biçimde daha kısa bulunmuştur. Bu bulgular, her iki anestezi yönteminin ağrı ve iyileşme kalitesi açısından benzer sonuçlar doğurduğuna işaret etmekle birlikte, rejyonel anestezinin fonksiyonel iyileşme üzerindeki avantajı ERAS protokolleri çerçevesinde klinik öneme sahip bir bulgu olarak değerlendirilmektedir.

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Cite This Article

Tek, M. R., Erol, M. O., Birlik, A. B., Coşar, M. Y. (2026). Comparison of the Effects of General and Regional Anesthesia on Postoperative Pain and Quality of Recovery in Cesarean Section Operations. Sağlık Hizmetleri Araştırma Dergisi, Cilt: 4, 82–90. https://ajindex.com/articles/1646311

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