口腔种植术后疼痛实时评估及影响因素分析

Real-time assessment of pain and its influencing factors after dental implant surgery

目的探讨实时性评估用于调查口腔种植术后疼痛程度的临床可行性,并分析术后疼痛情况及其相关影响因素。方法采用方便抽样的调查方法,抽取2018年11月至2019年8月于重庆医科大学附属口腔医院修复科接受口腔种植手术的患者233例。应用电话随访的方式,对其术后疼痛情况进行实时性评估调查。采用SPSS 23.0录入数据并进行统计分析,对患者术后疼痛情况进行统计描述,对可能的影响因素进行Spearman相关性及多元线性回归分析。结果最终228例纳入研究,应答率为97.9%。患者疼痛程度主要为轻度,在术后4、6 h时最为明显。Spearman相关性分析及多元线性回归分析显示,术前是否服用止疼药物(P=0.000,P=0.004)、疼痛敏感度评分(PSQ-total)(P=0.016,P=0.001)、手术时长(P=0.046,P=0.028)是影响术后疼痛的主要因素。结论实时性评估的调查方法可行性高,可在临床研究工作中推广;针对疼痛敏感度较高及手术时间较长的患者,应指导其服用止疼药物,以减轻术后疼痛程度。

Objective To explore the clinical feasibility of real-time assessment for degree of pain after surgical dental implant placement,and to analyze the related influencing factors of postoperative pain.Methods A total of 233 patients undergoing dental implant surgery in the prosthodontics department from November 2018 to August 2019 were selected by convenient sampling in this study.The postoperative pain was evaluated in real time based on phone follow-up.All the data were collected and analyzed by SPSS 23.0 statistics.The postoperative pain was described statistically,and the predictor variables were tested by Spearman correlation analysis and multiple linear regression analysis.Results Finally,228 patients were included in the study,and the response rate was 97.9%.Pain intensity was mild for the most patients and the peak of it occurred at the 4th and 6th hour after surgery.Spearman correlation analysis and multiple linear regression analysis indicated that the influencing factors associated with the degree of postoperative pain included premedication with painkiller(P=0.000,P=0.004),the scores of pain sensitivity questionnaire(PSQ-total)(P=0.016,P=0.001)and operation time(P=0.046,P=0.028).Conclusion Our real-time assessment is feasible,and is worthy of clinical promotion.For the patients with high pain sensitivity and longer operation time,painkillers should be recommended to relieve the pain.