Prediction of Acute Postoperative Pain from Assessment of Pain Associated With Venous Cannulation
Prediction of Acute Postoperative Pain from Assessment of Pain Associated With Venous Cannulation
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DOI：
10.1111/papr.12729
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发表时间：
2019-02-01
期刊：
影响因子：
2.6
通讯作者：
Akeson, Jonas
中科院分区：
文献类型：
--
作者：
Persson, Anna K. M.;Akeson, Jonas
背景 此前有报道称，静脉插管引起的疼痛（VCP）可用于预测腹腔镜胆囊切除术后的急性术后疼痛。 VCP 评级≥ 2.0 VAS 单位的患者发生中度或重度疼痛的风险高出 3.4 倍。本研究的目的是评估 VCP 评分 >= 2.0 VAS 单位是否与各种常见外科手术后急性术后疼痛的较高风险相关。方法 在一项前瞻性临床观察研究中，纳入了 600 名 18 至 80 岁的男性和女性计划择期手术的患者。主要结局指标是 VCP 低反应者 (VCP < 2.0) 和高反应者 (VCP >= 2.0) 之间最大术后疼痛强度的差异。次要结果指标是低反应者和高反应者之间中度或重度术后疼痛患者比例的差异，以及年龄、性别和术前习惯性疼痛的潜在影响。结果 VCP 评分 >= 2.0 VAS 单位的患者报告的术后急性疼痛强度水平高于 VCP = 2.0 VAS 单位的患者，且 VCP 评分为 VAS 单位的患者高出 26%（P = 0.005）。结论 手术前对 VCP 强度进行评分，不需要特定的设备或培训，有助于预测涉及不同类型手术的情况下中度或重度术后疼痛的个体风险，无论患者年龄或性别如何。
Background It has previously been reported that venous cannulation-induced pain (VCP) can be used to predict acute postoperative pain after laparoscopic cholecystectomy. Patients rating VCP at >= 2.0 VAS units had 3.4 times higher risk for moderate or severe pain. The purpose of this study was to evaluate if VCP scores of >= 2.0 VAS units are associated with higher risk for acute postoperative pain after various common surgical procedures. Methods In a prospective clinical observational study, 600 male and female 18- to 80-year-old patients scheduled for elective surgery were included. The primary outcome measure was the difference in maximum postoperative pain intensity between low responders (VCP < 2.0) and high responders (VCP >= 2.0) to VCP. Secondary outcome measures were the difference in proportion of patients with moderate or severe postoperative pain between low and high responders, and potential influence of age, gender, and preoperative habitual pain. Results Patients scoring VCP >= 2.0 VAS units reported higher acute postoperative pain intensity levels than those scoring VCP = 2.0 VAS units and by 26% with VCP scores of VAS units (P = 0.005). Conclusion Scoring of VCP intensity before surgery, requiring no specific equipment or training, is useful to predict individual risks for moderate or severe postoperative pain, regardless of patient age or gender, in a setting involving different kinds of surgery.