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An Analysis of Predictors of Persistent Postoperative Pain in Spine Surgery.
Current Pain and Headache Reports ( IF 3.7 ) Pub Date : 2020-02-18 , DOI: 10.1007/s11916-020-0842-5
ChenChen Costelloe 1 , Stacey Burns 1 , R Jason Yong 1, 2 , Alan D Kaye 3 , Richard D Urman 1, 4
Affiliation  

Purpose of Review

This review aims to identify perioperative patient-related factors that are associated with the development of persistent postoperative pain (PPP) in patients undergoing spine surgery.

Recent Findings

Twenty-one studies published between 2000 and 2019 were included in this literature review. The following five patient-related factors were identified to be associated with the development of PPP after spine surgery: anxiety, depression, pain catastrophizing, pain sensitivity, and preoperative opioid consumption.

Summary

The existing literature suggests that the risk factors for developing chronic pain after spine surgery appear to be similar to those for other types of surgery. Psychological factors and preoperative opioid consumption are associated with developing chronic pain after spinal surgery. Other factors such as gender, age, preoperative pain intensity, and immediate postoperative pain may also be involved but the evidence on this is limited.


中文翻译:

脊柱手术持续性术后疼痛的预测因素分析。

审查目的

这篇综述旨在确定与脊柱手术患者持续性术后疼痛(PPP)的发展相关的围手术期患者相关因素。

最近的发现

该文献综述包括2000年至2019年发表的21项研究。脊柱外科手术后,以下五个与患者相关的因素被确定与PPP的发展有关:焦虑,抑郁,疼痛灾难性,疼痛敏感性和术前服用阿片类药物。

概要

现有文献表明,脊柱手术后发生慢性疼痛的危险因素似乎与其他类型的手术相似。心理因素和术前阿片类药物的摄入与脊柱外科手术后出现慢性疼痛有关。也可能涉及其他因素,例如性别,年龄,术前疼痛程度和术后即刻疼痛,但有关证据有限。
更新日期:2020-02-18
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