Pain and functional impairment 1 year after inguinal herniorrhaphy: A nationwide questionnaire study
Pain and functional impairment 1 year after inguinal herniorrhaphy: A nationwide questionnaire study
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DOI：
10.1097/00000658-200101000-00001
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发表时间：
2001-01-01
影响因子：
9
通讯作者：
Kehlet, H
中科院分区：
文献类型：
--
作者：
Bay-Nielsen, M;Perkins, FM;Kehlet, H
目的了解腹股沟疝修补术后1年腹股沟疼痛的发生率，探讨慢性腹股沟疼痛对功能的影响。背景资料报道腹股沟疝修补术后慢性疼痛的发生率从0%到37%不等。没有高随访率的横断面队列研究解决了这个问题，并且缺乏对疝修补术后慢性腹股沟疼痛的功能后果的评估。方法术后1年邮寄两套自填问卷。首先确定了慢性腹股沟疼痛的发生率。第二组描述了疼痛的特征，以及疼痛对报告疼痛者功能的影响。研究人群包括在1998年2月1日至1998年3月31日期间在丹麦疝气数据库中登记的年龄大于18岁的患者。结果第一次问卷的回复率为80.8%。28.7%的人报告腹股沟疼痛，11.0%的人报告疼痛干扰了工作或休闲活动。老年患者的疼痛发生率较低。不同类型的疝、不同类型的手术修复或不同类型的麻醉在疼痛发生率上没有差异。第二份问卷的回复率为83%。其中，46人（4%）报告持续疼痛。休息时疼痛强度为中度或重度的40例（3%）；在体力活动中，91人（8%）的疼痛为中度或重度。有194例（16.6%）报告因疼痛导致特定日常活动障碍。疼痛特征主要是感官的，很少使用情感术语。结论腹股沟疝修补术后1年，疼痛是常见的（28.7%），超过一半的疼痛患者伴有功能障碍。在讨论腹股沟疝手术干预的必要性时，这些因素应予以考虑。
ObjectiveTo determine the incidence of groin pain 1 year after inguinal herniorrhaphy and to assess the influence of chronic groin pain on function.Summary Background DataThe reported incidence of chronic pain after inguinal herniorrhaphy varies from 0% to 37%. No cross-sectional cohort studies with high follow-up rates have addressed this problem, and there is a lack of assessment of the functional consequences of chronic groin pain after herniorrhaphy.MethodsTwo sets of self-administered questionnaires were mailed 1 year after surgery. The first established the incidence of chronic groin pain. The second characterized the pain and the effect of the pain on the function of those reporting pain. The study population comprised patients older than age 18 years registered in the Danish Hernia Database who underwent surgery between February 1, 1998, and March 31, 1998.ResultsThe response rate to the first questionnaire was 80.8%. Pain in the groin area was reported by 28.7%, and 11.0% reported that pain was interfering with work or leisure activity. Older patients had a lower incidence of pain. There were no differences in the incidence of pain with regard to the different types of hernia, the different types of surgical repairs, or the different types of anesthesia. The second questionnaire was returned by 83%. Of these, 46 (4%) reported constant pain. The intensity of pain while at rest was moderate or severe in 40 (3%); with physical activity, pain was moderate or severe in 91 (8%). Impairment of specific daily activities as a result of pain was reported by 194 (16.6%). Pain characteristics were predominantly sensory, with a low use of affective terms.ConclusionOne year after inguinal hernia repair, pain is common (28.7%) and is associated with functional impairment in more than half of those with pain. These factors should be addressed when discussing the need for surgical intervention for an inguinal hernia.