胸部手术后慢性术后疼痛的患病率和危险因素:一个前性队列研究
James S Khan1, Elad Dana2, Maggie Z X Xiao1
1Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.
Journal of cardiothoracic and vascular anesthesia
|August 2, 2024
概括
慢性术后疼痛 (CPSP) 影响大约三分之一的患者在胸部手术后三个月. 手术前的焦虑,抑郁和急性疼痛是发展CPSP的关键危险因素.
科学领域:
- 胸部外科手术 胸部外科手术
- 疼痛医学 医学 疼痛医学
- 外科手术的结果
背景情况:
- 胸部外科手术具有慢性术后疼痛 (CPSP) 的高发病率.
- CPSP显著影响患者的生活质量和医疗保健成本.
- 需要针对CPSP制定有效的预防策略.
研究的目的:
- 为了确定胸部手术后CPSP的患病率.
- 描述CPSP的特征,包括神经病痛.
- 识别与CPSP发展相关的风险因素.
主要方法:
- 在一个单一的第三级护理中心进行前性队列研究.
- 285名接受胸部手术的成年患者被跟踪12个月.
- 收集的数据包括人口统计,心理状态和手术后3,6个月和12个月的疼痛评估.
主要成果:
- 3个月后,CPSP的患病率为32.4%,6个月后为25.4%,12个月后为18.2%.
- 3个月后,近一半的CPSP患者报告了神经病痛特征 (71%在1年内).
- 3个月后CPSP的独立预测因素包括更高的焦虑/抑郁分数和急性术后疼痛.
结论:
- 大约三分之一的患者经历了胸部手术后三个月的CPSP.
- 很大一部分CPSP病例表现出神经病变特征.
- 手术前的焦虑,抑郁和急性术后疼痛是CPSP的潜在危险因素.
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