腰椎间盘突出症术后早期疼痛不缓解的影响因素

Risk factors for non-relief of early postoperative pain in patients with lumbar disc herniation undergoing microsurgery

目的 探讨腰椎间盘突出症(LDH)术后早期疼痛不缓解的影响因素。方法 回顾性分析2012年1月至2023年2月手术治疗的119例LDH的临床资料。术后1周应用视觉疼痛模拟量表评分评估疼痛缓解情况。结果 术后1周,疼痛缓解100例,不缓解19例。多因素logistic回归分析表明,年龄<50岁、开放减压融合术、侧隐窝狭窄、手术节段≥2个是术后1周疼痛不缓解的独立危险因素(P<0.05)。结论 LDH术后早期疼痛不缓解与年龄、手术方式、手术节段、侧隐窝情况有关,年龄<50岁、开放减压融合术、侧隐窝狭窄、手术节段≥2个是病人术后早期疼痛不缓解的独立危险因素。

Objective To investigate the risk factors for non-relief of early postoperative pain in patients with lumbar disc herniation(LDH)undergoing microsurgery.Methods The clinical data of 119 patients with LDH treated by operation from January 2012 to February 2023 were retrospectively analyzed.The pain relief was evaluated by visual analogue scale 1 week after surgery.Results One week after surgery,the pain was relieved in 100 patients,and was not relieved in 19.Multivariate logistic regression analysis showed that age<50 years,decompression and fusion,lateral recess stenosis,and surgical segments≥2 were independent risk factors for non relief of pain 1 week after surgery(P<0.05).Conclusions Non-relief of early postoperative pain in patients with LDH is related to age,surgical method,surgical segent,and lateral spinal recess condition.Age<50 years,decompression and fusion,lateral recess stenosis,and surgical segments≥2 are independent risk factors for non-relief of early postoperative pain.