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Related Factors of Chronic Pain After Thoracoscopic Lobectomy in Patients With Lung Adenocarcinoma |
Jin Hongling |
Nanyang Nanshai Hospital, Nanyang 47300, China |
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Abstract Objective To investigate the occurrence of chronic pain after thoracoscopic lobectomy in patients with lung adenocarcinoma,and to analyze the related factors inducing chronic pain after thoracoscopic lobectomy in patients with lung adenocarcinoma. Methods 70 patients with lung adenocarcinoma who underwent thoracoscopic lobectomy were selected as the research objects.All patients were followed up for 6 months.The incidence of chronic pain after thoracoscopic lobectomy in patients with lung adenocarcinoma during the follow-up period was counted,The influencing factors of chronic pain after thoracoscopic lobectomy in patients with lung adenocarcinoma were analyzed. Results After thoracoscopic lobectomy in 70 patients with lung adenocarcinoma,34 patients had chronic pain,the incidence rate was 48.57%;Postoperative lung cancer patients with chronic pain,diabetes,postoperative anxiety,postoperative drainage tube placement time greater than 4D,postoperative analgesia with PCIA compared with no patients,the difference was statistically significant(P<0.05).The multivariate Logistic regression model showed that diabetes,postoperative anxiety,postoperative drainage tube placement time greater than 4D,and postoperative analgesia without PCIA were risk factors for chronic pain after thoracoscopic lobectomy in patients with lung adenocarcinoma(OR>1,P<0.05). Conclusion the risk of chronic pain is higher in patients with lung adenocarcinoma after thoracoscopic lobectomy.Factors such as diabetes,postoperative anxiety,postoperative drainage tube placement time and postoperative PCIA analgesia may increase the risk of postoperative chronic pain.
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Received: 10 September 2021
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[1] 李喆,杨杨,刘延风,等.全胸腔镜肺叶切除术治疗早期非小细胞肺癌的临床效果[J].实用癌症杂志,2018,33(1):82-85. [2] 李彩伟,美青,徐广文,等.单孔与三孔胸腔镜肺部手术后急慢性疼痛的对比研究[J].中国肺癌杂志,2018,21(4):279-284. [3] 刘仲阳,袁欣,周文,等.微创小切口手术对早期胸中下段食管癌患者的治疗效果及对其疼痛的影响[J].实用肿瘤学杂志,2019,33(1):57-61. [4] 孙兵,车晓明.视觉模拟评分法(VAS)[J].中华神经外科杂志,2012,28(6):645. [5] 田银娣,王怡恺,李静,等.焦虑和抑郁量表在肝硬化患者临床应用中的信效度评价[J].实用肝脏病杂志,2019,22(1):105-108. [6] 王超,刘伟,刘洋.早期非小细胞肺癌病人肺叶切除术后慢性疼痛的影响因素[J].中国疼痛医学杂志,2017,23(4):283-286. [7] 冯祎垟,朱光,高兴才,等.三孔胸腔镜肺癌根治术术后慢性疼痛影响因素分析[J].航空航天医学杂志,2020,31(4):395-398. [8] 盖晓冬,葛圣金.术后慢性疼痛患病率调查及危险因素分析[J].中国临床医学,2020,72(3):481-487. [9] 王娟,陈德凤,刘勇世,等.肺叶切除术患者术后慢性疼痛的影响因素分析[J].临床医学研究与实践,2019,4(23):102-104. [10] 张芳芳,许琦琦,刘琛,等.非小细胞肺癌患者术后慢性疼痛的危险因素分析[J].医学研究杂志,2019,48(6):121-125. [11] 李松泽,黄泽清.不同镇痛方法对腹部手术后慢性疼痛和睡眠质量的影响[J].中国医药导报,2019,16(13):107-111. [12] 孔庆芝,邢飞,张卫.胸部手术后慢性疼痛危险因素及预防[J].国际麻醉学与复苏杂志,2019,40(3):270-274. |
[1] |
. [J]. journal1, 2022, 42(6): 97-98. |
[2] |
. [J]. journal1, 2022, 42(6): 72-73. |
[3] |
Song Jiangfeng, Qian Kun, Lv Qianqian. The Effect of Pramipexole Combined With Dopaserizide on Daily Living Ability and Serum Biochemical Indexes in Patients With Parkinson[J]. journal1, 2022, 42(5): 3-3. |
[4] |
. [J]. journal1, 2022, 42(5): 24-25. |
[5] |
. [J]. journal1, 2022, 42(5): 54-55. |
[6] |
. [J]. journal1, 2022, 42(5): 72-74. |
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