Abstract：Objective To explore the influencing factors of chronic post-surgical pain(CPSP)after total hip arthroplasty in the elderly.Methods A total of 124 elderly patients who underwent total hip arthroplasty in Zhangzhou People′s Hospital from January 2015 to December 2020 were selected as the research objects.The occurrence of CPSP within 6 months after operation was evaluated by digital evaluation scale(NRS).The occurrence of CPSP was taken as the dependent variable,the American Association of Anesthesiologists(ASA)grade,operation time,postoperative analgesia,postoperative 24 h NRS score and general data were analyzed.Results Univariate analysis showed that age,body mass index(BMI),drinking history,operation time,hip joint starting time,postoperative analgesia mode,postoperative 24 h NRS score and deep venous thrombosis of lower extremities were related factors affecting CPSP.Multivariate analysis showed that the starting time of hip joint movement ≥3 d(β=-0.917, OR=0.629,95%CI=0.406-0.861)was the protective factor of CPSP,while age ≥70 years old(β=-0.728, OR=0.721,95%CI=0.593-0.832),BMI ≥28 kg/m2(β=0.754,OR=3.253,95%CI=2.061-8.092),operation time ＞2 h(β=1.734,OR=5.269,95%CI=2.381-12.962),deep vein thrombosis of lower extremities(β=1.208, OR=6.872,95%CI=4.724-12.736)and postoperative 24 h NRS score ＞3 points(β=1.820, OR=6.284,95%CI=2.593-14.872)were independent risk factors for CPSP(P＜0.05).Conclusion Age ＞70 years old,obesity,long operation time,postoperative deep venous thrombosis of lower extremities and postoperative 24 h NRS score ＞3 points are risk factors for CPSP after total hip arthroplasty in the elderly.Hip joint movement time ≥3 days is a protective factor for CPSP after total hip arthroplasty in the elderly.
沈伟明 高 兵 陈 杰. 老年全髋关节置换术后慢性疼痛的影响因素分析[J]. 中国当代医药, 2022, 29(11): 56-59.
SHEN Weiming GAO Bing CHEN Jie. Analysis of influencing factors of chronic post-surgical pain after total hip replacement in the elderly. 中国当代医药, 2022, 29(11): 56-59.
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