某三甲医院手外科患者术后疼痛的现状分析

Analysis of Postoperative Pain in Patients with Hand Surgery in a Tertiary Hospital

目的探讨浙江省温州市手外科患者术后慢性疼痛发生现状。方法 2016年3月至2017年3月温州市某三甲医院手外科对290例术后患者分别在术后3个月和6个月进行电话回访,采用自行编制的问卷进行调查,主要评估患者手术后3个月和6个月时慢性疼痛的发生、疼痛程度(采用数字疼痛评分法,NRS评分)、疼痛性质等疼痛状况。结果 290例手外科患者术后3个月疼痛的发生率34.1%,疼痛的平均得分为4.82±3.97分。术后6个月疼痛发生率15.5%,疼痛的平均得分为2.82±2.67分。统计分析显示,术后3个月慢性疼痛的发生率与术后6个月慢性疼痛的发生率之间差异具有统计学意义(P<0.05)。年龄、性别、睡眠情况与手外科患者术后3个月慢性疼痛的发生率具有相关性(P<0.05)。结论随时间的增加,慢性疼痛的发生率逐渐下降,其中,年轻、女性、难入睡的患者术后慢性疼痛的发生率较高,医护人员应该更加关注该群体术后的疼痛随访,减少、预防急性疼痛的发生。

Objective To investigate the status of chronic pain after hand surgery in Wenzhou, Zhejiang Province. Methods 290 patients were recruited by convenience sampling from March 2016 to March 2017 from Department of Hand Surgery of a Class-A tertiary hospital in Wenzhou. A self-developed questionnaire was used for investigating the incidence, degree and type of chronic pain at 3 months and 6 months after hand surgery. Results Among the 290 patients recruited, the incidence of chronic pain after hand surgery was 34.l% at 3months, and 15.5% at 6months. The average pain score was 4.82 ~ 3.97 at 3 months while 2.82 ＋ 2.67 at 6months. Statistical analysis showed that the incidence of chronic pain at 3 months after hand surgery was significantly different （P〈0.05） from that of 6 months after hand surgery. Statistical test showed that age, sex and sleep condition were correlated with the incidence of chronic pain at 3 months postoperatively （P 〈0.05）. Conclusion With time going on, the incidence of chronic pain gradually decreased. Young, female patients or those having difficulty in sleeping had higher incidence of chronic pain. Therefore, medical staff should pay more attention to the follow-up on pain of those patients, to prevent acute pain.