[1]胡建容,闫伟东,贾晨阳,等.胸腔镜肺叶切除术患者发生慢性术后疼痛的危险因素分析[J].军事护理,2021,38(02):45-47.[doi:10.3969/j.issn.1008-9993.2021.02.012]
　HU Jianrong,YAN Weidong,JIA Chenyang,et al.Risk Factors of Chronic Postsurgical Pain after Video-Assisted Thoracic Surgery[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(02):45-47.[doi:10.3969/j.issn.1008-9993.2021.02.012]
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胸腔镜肺叶切除术患者发生慢性术后疼痛的危险因素分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年02期
页码:
45-47
栏目:
研究荟萃
出版日期:
2021-02-15

文章信息/Info

Title:
Risk Factors of Chronic Postsurgical Pain after Video-Assisted Thoracic Surgery
文章编号:
1008-9993(2021)02-0045-03
作者:
胡建容1; 闫伟东2; 贾晨阳3; 吕沛林2
(1.四川大学华西医院 手术室,四川 成都,610041; 2.四川大学华西医院 麻醉科; 3.哈尔滨医科大学公共卫生学院 流行病学教研室,黑龙江 哈尔滨,150081)
Author(s):
HU Jianrong1; YAN Weidong2; JIA Chenyang3; LV Peilin2
(1.Department of Operation Room,West China Hospital of Sichuan University,Chengdu 610041,Sichuan Province,China; 2.Department of Anesthesiology,West China Hospital of Sichuan University; 3.Department of Epidemiology,College of Public Health of Harbin Medical University,Harbin 150086,Heilongjiang Province,China)
关键词:
慢性术后疼痛;  胸腔镜肺叶切除术;  危险因素
Keywords:
chronic post-surgical pain;  video assisted thoracic surgery;  risk factors
分类号:
R473.6
DOI:
10.3969/j.issn.1008-9993.2021.02.012
文献标志码:
A
摘要:
目的 探讨胸腔镜肺叶切除术(video-assisted thoracic surgery,VATS)患者发生慢性术后疼痛(chronic post-surgical pain,CPSP)的危险因素。方法 2019年3-6月,便利抽样法选择在四川大学华西医院胸外科择期行VATS的患者为研究对象。于术后1～3 d、90 d采用数字分级评分法(numerical rating scale,NRS)评估患者疼痛。根据术后90 d NRS评分,将NRS评分为0分的患者归入无CPSP组; 将NRS评分≥1分的患者归入CPSP组,探究影响CPSP的危险因素。结果 最终纳入病例221例,CPSP发生率为65.2%。不同性别和术后急性疼痛程度的患者其在是否发生CPSP上的差异均有统计学意义(均P<0.05)。性别(OR=2.126,95% CI 1.166～3.900,P=0.014)、急性疼痛(OR= 2.158,95% CI 1.158～4.039,P=0.016)是CPSP的影响因素。结论 在胸腔镜肺叶切除术后护理中,医护人员要注意监测患者术后急性疼痛,尤其是女性患者,从而降低CPSP的发生率。
Abstract:
Objective To reduce the incidence of chronic post-surgical pain(CPSP),we investigated the risk factors for CPSP in patients with video-assisted thoracic surgery(VATS).Methods Patients undergoing VATS were selected.Numerical rating scale(NRS)was used to evaluate the occurrence and intensity of CPSP on the 1-3 and 90 days after surgery.Patients were divided into the CPSP group and the non-CPSP group according to the presence of CPSP.Univariate analysis and multivariate logistic regression analysis were performed on the two groups.Results The incidence of CPSP was 65.2% in 221 cases included.Patients with different genders and degree of post-surgical pain had statistically significant differences in the occurrence of CPSP(all P<0.05).Multivariate logistic regression results showed that gender(OR=2.126,95% CI 1.166-3.900, P=0.014), acute post-surgical pain(OR=2.158,95% CI1.158～4.039,P=0.016)were independent risk factors of CPSP.Conclusions Female and acute post-surgical pain are independent risk factors for the development of CPSP in patients underwent VATS.

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(本文编辑:郁晓路)

备注/Memo

备注/Memo:
【 收稿日期 】 2020-10-18 【 修回日期 】 2021-01-08
【 基金项目 】 国家自然科学基金资助项目(81801117)
【 作者简介 】 胡建容,本科,护师,从事胸心外科围术期护理工作
【 通讯作者 】 吕沛林,电话:18980601885
更新日期/Last Update: 2021-02-15