胸外科中慢性疼痛的发生率和危险因素：一项回顾性研究

IF 0.9 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-01-01 DOI:10.1016/j.redar.2024.06.003

H. Rivera-Ramos, L. Larrañaga-Altuna, M. García-Olivera, M. Armengol-Gay, M. Soldevilla-García, S. Bermejo-Martínez

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引用次数: 0

摘要

背景：慢性胸外科术后疼痛（CPTSP）是影响患者生活质量的常见并发症。开胸术与慢性疼痛的高风险相关。视频胸腔镜手术（VATS）是一种创伤较小的选择，但其在CPTSP发展中的作用尚不清楚。无论采用哪种方法，都有证据表明，人口统计学、社会心理或临床因素也会导致疼痛。本研究的主要目的是确定我院CPTSP的发病率。次要目标是确定与CPTSP相关的可能风险因素。方法回顾性、单中心观察研究。回顾了2016年1月至2020年1月期间接受胸外科手术的患者的医疗记录。CPTSP的诊断是通过回顾术后6个月的随访。分析了CPTSP与一系列变量之间的关系，构建了显著性水平为p <的多元二元logistic回归模型；0.05.结果259例患者中，46.7%行VATS手术，53.3%行开胸手术。CPTSP总发病率为12%；VATS为4.1%，开胸手术为18.8%。多因素模型显示，术后急性疼痛严重和胸管数量较多是发生CPTSP的危险因素。结论本院CPTSP发生率为12%。术后急性疼痛程度高、胸管数多的患者更容易发生CPTSP。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Incidencia y factores de riesgo de dolor crónico en cirugía torácica: un estudio retrospectivo

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Incidencia y factores de riesgo de dolor crónico en cirugía torácica: un estudio retrospectivo

Background

Chronic post-thoracic surgery pain (CPTSP) is a common complication that affects a patient's quality of life. Thoracotomy is associated with a high risk of chronic pain. Video-assisted thoracoscopy surgery (VATS) is a less traumatic option, but its role in the development of CPTSP is unclear. Regardless of the approach, there is evidence that demographic, psychosocial, or clinical factors also contribute to pain. The primary objective of this study is to determine the incidence of CPTSP in our hospital. The secondary objective is to identify possible risk factors related to CPTSP.

Method

Retrospective, single-centre observational study. The medical records of patients that underwent thoracic surgery between January 2016 and January 2020 were reviewed. The diagnosis of CPTSP was made by reviewing the postoperative visits 6 months after surgery. We analysed the relationship between CPTSP and a series of variables, and then constructed a multivariate binary logistic regression model with a significance level of p < 0.05.

Results

A total of 259 patients were analyzed, 46.7% underwent VATS and 53.3% underwent thoracotomy. The overall incidence of CPTSP was 12%; 4.1% in VATS and 18.8% in thoracotomies. The multivariate model revealed that acute postoperative pain severe and a greater number of chest tubes were risk factors for CPTSP.

Conclusion

The incidence of CPTSP was 12% in our hospital. Patients with higher acute postoperative pain severe and several chest tubes were more likely to develop CPTSP.

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