Risk factors of chronic post-surgery pain after arthroscopic rotator cuff repair

doi:10.3969/j.issn.2096-3351.2023.06.0012

您当前的位置：

首页 >

文章列表页 >

Risk factors of chronic post-surgery pain after arthroscopic rotator cuff repair

更新时间：2024-02-04

- Risk factors of chronic post-surgery pain after arthroscopic rotator cuff repair
- Journal of Southwest Medical University Vol. 46, Issue 6, Pages: 517-523(2023)
- 作者机构：
  
  1. 西南医科大学附属医院康复医学科,泸州,64600
  2. 西南医科大学康复医学系,泸州,64600
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2096-3351.2023.06.0012
  CLC：
- Published：2023，
  
  Published Online：20 November 2023，
扫描看全文
Risk factors of chronic post-surgery pain after arthroscopic rotator cuff repair. [J]. Journal of Southwest Medical University 46(6):517-523(2023)
DOI：

Risk factors of chronic post-surgery pain after arthroscopic rotator cuff repair. [J]. Journal of Southwest Medical University 46(6):517-523(2023) DOI： 10.3969/j.issn.2096-3351.2023.06.0012.

摘要

目的探究肩袖损伤关节镜修复术（arthroscopic rotator cuff repair

ARCR）后慢性疼痛(chronic post-surgical pain

CPSP)的危险因素，以期为 ARCR 术后疼痛管理提供新的临床依据。方法根据纳排标准，对西南医科大学附属医院骨与关节外科、康复医学科于 2021 年 01 月 01 日至 2022 年 09 月30 日行 ARCR 的患者进行初步筛选。术后3个月通过疼痛视觉模拟评分（visual analogue scale

VAS）进行随访，根据术后3个月患侧肩膀是否存在疼痛将纳入病例分为疼痛组和无痛组。收集纳入患者的流行病学资料、围手术期临床资料、术后临床资料。纳入相关因素进行单因素分析初步筛选 CPSP 的影响因素；进一步采用 logistic 回归进行多因素分析，筛选危险因素。结果符合纳入标准病例共 153 例，7例脱落，最终纳入146例，其中疼痛组83例，无痛组63例。单因素分析显示女性、绝经、全层撕裂、肩袖撕裂手术方式、术后疼痛程度、焦虑、睡眠障碍是CPSP的影响因素（P < 0.05）。女性（OR = 2.75，95% CI 1.35，5.59）、全层撕裂（OR = 2.37，95% CI 1.09，5.14 ）、睡眠障碍（OR = 2.84，95% CI 1.22，6.60）、肩袖撕裂手术方式（单排固定缝合OR = 3.30，95% CI 1.29，8.44; 双排固定缝合OR = 3.02，95% CI 1.339，6.82）、肩袖小撕裂（OR = 3.48，95% CI 0.14，10.68）是 ARCR术后CPSP 发生的危险因素。结论女性、全层撕裂、肩袖撕裂手术方式、睡眠障碍、肩袖小撕裂可能会导致ARCR术后CPSP的发生，应重视此类患者术后疼痛的管理，开展个性化康复训练。

Abstract

Objective To investigate the risk factors of chronic post-surgery pain (CPSP) after arthroscopic rotator cuff injury repair (ARCR) for clinical practice. Methods According to the inclusion and exclusion criteria

patients who undergone ARCR were screened from January 1

2021 to September 30

2022 in the Department of Bone and Joint Surgery and Rehabilitation Medicine

Affiliated Hospital of Southwest Medical University. Epidemiological factors

perioperative factors

surgical factors and postoperative factors were collected. Patients were followed up by visual analogue scale (VAS) score after 3 months. According to the VAS scores after surgery

patients were divided into pain group and control non-pain group. Related factors were included in the univariate analysis. Logistic regression was used for multivariate analysis to screen risk factors. Results A total of 153 cases met the inclusion criteria

7 cases fell off

and 146 cases were finally included. This study included 83 cases in the pain group and 63 cases in the non-pain group. Univariate analysis showed that female

menopause

full-thickness tears

rotator cuff tear surgery ways

degree of postoperative pain

anxiety

sleep disturbance were the influencing factors of CPSP (P < 0.05). Female (OR = 2.75

95% CI 1.35

5.59)

full-thickness tear (OR = 2.37

95% CI 1.09

5.14)

sleep disturbance (OR = 2.84

95% CI 1.22

6.60)

rotator cuff tear surgical ways (single row fixation OR = 3.30

95% CI 1.29

8.44; double rows fixation OR = 3.02

95% CI 1.339

6.82)

smaller rotator cuff tears (OR = 3.48

95% CI 0.14

10.68) were risk factors for CPSP after ARCR. Conclusion Female

full-thickness tear

sleep disturbance

rotator cuff tear surgical ways

and small-size rotator cuff tears could cause CPSP after ARCR. Attention should be paid to postoperative analgesia management and individualized rehabilitation.

关键词

关节镜肩袖修复术危险因素慢性术后疼痛

Keywords

ArthroscopyRotator cuff repairRisk factorsChronic post-surgery pain

references

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Risk Factor Analysis of Carbapenem-Resistant Klebsiella Pneumoniae Infection and Mortality in Respiratory Intensive Care Unit Patients

Current status and Risk Factors of Social Adaptability in Children with Primary Nephrotic Syndrome

Survey and analysis on the prevalence of hypertension among people aged 40 and over in Jiangyang District of Luzhou City in 2021

Progress on prevention and control of external ventricular drainage related infection

Risk factors for intrahepatic cholestasis of pregnancy

Related Author

QIAN Keli

YUAN Zhe

QUE Mi

WANG Zhongjie

LIU Yuanyuan

FU Junmei

WEI Mingjie

HUANG Shuli

Related Institution

Department of Infection Control，The First Affiliated Hospital of Chongqing Medical University

Department of Infectious Diseases，The First Affiliated Hospital of Chongqing Medical University

Department of Paediatrics，The First Affiliated Hospital of Henan University of T..M，Zhengzhou

School of Public Health，Southwest Medical University

Jiangyang District Center for Disease Control and Prevention

⁰