人工髋关节置换术后慢性疼痛发生率及其相关因素

The prevalence and the factors of chronic post-surgical pain syndrome after hip arthroplasty

目的:了解髋关节置换术术后患者慢性手术后疼痛的发生率,对其可能危险因素进行相关分析。方法 :选取本院2014年行髋关节置换术的患者,术前使用医院焦虑抑郁量表对患者的焦虑抑制状态进行测定;出院前1天再次测定患者的焦虑抑郁状态;复习病历以了解患者的基本情况、术前疼痛情况、麻醉情况、手术情况及术后情况;根据简明疼痛问卷和语言评价量表对患者慢性术后疼痛情况进行电话回访。结果:最终完成调查的患者共136例。慢性术后疼痛与术前焦虑抑郁状态、手术方式、麻醉方式、出院前焦虑抑郁状态显著正相关;与术后2 d疼痛程度显著负相关。结论:人工髋关节置换术后慢性疼痛的发生与患者的焦虑抑郁状态、手术方式和麻醉方式等因素密切相关。

Objective： To understand the incidence of chronic post-surgical pain（CPSP） after hip arthroplasty, and analysis the possible risk factors. Methods： Postoperative patients with hip arthroplasty in 2014 were admitted. Anxiety and depression was estimated using hospital anxiety and depression scale before operation, which was estimated again the day before discharge. We reviewed hospitalized records to study the basic situation of patients, preoperative pain, anesthesia, operation methods and postoperative pain. Telephone interview was made to learn CPSP according to the brief pain questionnaire and verbal rating scale. Results： 136 investigation cases were finished. Correlation analysis showed that there was a significant positive correlation between CPSP and preoperative depression, operation methods, anesthesia, and depression before discharge. It also showed that there was a remarkable negative correlation between CPSP and postoperative pain in the second day. Conclusion： The incidence of CPSP after hip arthroplasty is closely related to anxiety and depression, operation methods and anesthesia.