三孔胸腔镜肺癌根治术术后慢性疼痛影响因素分析  

Analysis of Risk Factors for Chronic Pain after Three-hole Thoracoscopic Radical Operation for Lung Cancer

作　　者：冯祎垟 朱光[1] 高兴才[1] 王鑫[1] 郭明[2] FENG Yiyang;ZHU Guang;GAO Xingcai(The Fifth Affiliated Hospital of Zhengzhou University,Thoracic-cardiac Surgery Depar-iment,Zhengzhou 450000,China)

机构地区：[1]郑州大学第五附属医院,郑州450000 [2]郑州大学第一附属医院,郑州450000

出　　处：《航空航天医学杂志》2020年第4期395-398,共4页Journal of Aerospace medicine

摘　　要：目的研究三孔胸腔镜肺癌根治术术后慢性疼痛的发生率并探讨其影响因素。方法收集某三级甲等医院2018年1月1日-2018年10月31日符合研究要求的胸腔镜下肺癌根治术患者56例。实际完成随访48例。以数字分级评分法评定术后第1-3天,第3个月时患者的疼痛程度。以术后第3个月是否发生术后慢性疼痛(CPSP)为标准,将患者分为两组,即CPSP组,与非CPSP组。并针对10项相关因素进行分析。结果根据实际完成的随访例数分析年龄,术后1-3天疼痛程度差异有统计学意义(P<0.05)。结论针对存在统计学差异的相关因素行Logistics回归分析,分析结果显示术后急性期疼痛(P<0.05)、年龄(P<0.05)是发生慢性术后疼痛的独立危险因素。Objective To investigate the incidence of chronic pain after radical surgery for three-hole thoracoscopic lung cancer,and to analyze the independent risk factors that may lead to postoperative chronic pain.Methods A total of 56 patients with thoracoscopic radical resection of lung cancer who met the research requirements from January 1,2018 to October 31,1818,were collected from a third-grade hospital.Patients in the hospital were studied by bedside consultation and post-discharge follow-up.Patients who have been discharged from hospital are referred to by telephone.The actual follow-up was performed in 48 cases.The degree of pain in patients at the third and third months after surgery was assessed by numerical rating scale(NRS).Patients were divided into two groups according to the criteria of postoperative chronic pain(CPSP)in the third month after surgery,ie CPSP group(n=21)and non-CPSP group(n=27).According to the patient′s gender,age,body mass index(BMI),operation time,thoracic closed drainage tube drainage days,pathological type,mean 1-3 days postoperative pain score,marital status,drinking history,smoking history,10 related Statistical analysis of factors.Data were entered and analyzed by SPSS 22.0 statistical software.Count data is expressed as rate(%),and χ^2 test or Fisher exact probability method is used for comparison between groups.Measurement data were expressed as mean±standard deviation(x±s),and t-test or t′test was used for comparison between groups.Results According to the actual number of follow-up cases,21 patients had chronic postoperative pain,accounting for 43.75%(21/48)%,and 16 patients had mild pain.4 cases were moderate pain.One case was severe pain.There was a statistically significant difference in pain between the ages and 1-3 days after surgery(P<0.05).Conclusions Logistic regression analysis was performed for the relevant factors with statistical differences.The results showed that postoperative acute pain(P<0.05)and age(P<0.05)were independent risk factors for chronic postop

关 键 词：疼痛 手术后 胸腔镜 危险因素 肺肿瘤 

分 类 号：R734.2[医药卫生—肿瘤]