胸部外科手术后慢性疼痛的发生率和危险因素:一项回顾性研究
H Rivera-Ramos1, L Larrañaga-Altuna1, M García-Olivera1
1Servicio Anestesiología y Reanimación, Hospital del Mar-Parc de Salut Mar (PSMAR), Departamento de Anestesiología, Reanimación y Terapéutica del Dolor, Universitat Pompeu Fabra, Barcelona, Spain.
Revista espanola de anestesiologia y reanimacion
|November 14, 2024
概括
慢性胸部外科手术后疼痛 (CPTSP) 影响了12%的患者. 中度至严重的急性疼痛和多个胸腔管是手术后发展这种衰弱状况的关键风险因素.
科学领域:
- 胸部外科手术 胸部外科手术
- 疼痛管理 疼痛管理
- 术后并发症 术后并发症
背景情况:
- 慢性胸部外科手术后疼痛 (CPTSP) 是影响患者生活质量的重大并发症.
- 胸腔切除术具有CPTSP的高风险,而视频辅助胸腔镜手术 (VATS) 的作用尚不清楚.
- 人口,心理社会和临床因素也可能导致CPTSP的发展.
研究的目的:
- 确定在我们机构接受胸部手术的患者中CPTSP的发病率.
- 确定与CPTSP发展相关的潜在风险因素.
主要方法:
- 从2016年1月到2020年1月,对患者进行了回顾性,单中心的观察性研究.
- 基于手术后6个月的术后访问进行的CPTSP诊断.
- 多变量二进制逻辑回归分析 (p < 0.05) 以确定风险因素.
主要成果:
- 整体CPTSP发病率为12% (4.1%的VATS与18.8%的胸切除术相比).
- 中度至重度的急性术后疼痛是显著的危险因素.
- 在手术期间使用更多的胸管也被确定为危险因素.
结论:
- 在我们的医院队列中,CPTSP的发病率为12%.
- 急性术后疼痛的严重程度和胸腔管的数量是CPTSP的重要预测因素.
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