Status Quo and Influencing Factors of Pain After Endoscopic Submucosal Dissection for Early Gastrointestinal Cancer
Objective To analyze the current situation and influencing factors of pain after endoscopic submucosal dissection(ESD)for early gastrointestinal cancer,and to provide a reference basis for formulating precise pain intervention methods in the future,reducing postoperative pain in patients,improving patient satisfaction,and promoting patient recovery.Methods A total of 313 patients with early digestive tract cancer admitted to the Department of Gastroenterology,West China Hospital of Sichuan University from May 2019 to June 2023 were selected by cross-sectional survey.The socio-demographic data,clinical data and pain occurrence of the patients were collected.Univariate analysis and multivariate analysis were used to study the current situation and influencing factors of pain after ESD for early digestive tract cancer.Results The incidence of postoperative pain after ESD for early gastrointestinal cancer was 33.22％.Univariate analysis results showed that patient diagnosis,surgical name,surgical site,postoperative gastric tube presence,surgical scope,surgical duration,duration of anesthesia,preoperative history of pain,postoperative fever,and postoperative bleeding had statistically significant differences in the occurrence of pain in patients after ESD(P＜0.05).The results of binary Logistic regression analysis showed that the operation site and Huaxi emotional distress index(HEI)were independent risk factors for pain after ESD(P＜0.05).The locations of pain occurrence were different in patients with different operation sites.The pain after esophageal ESD was prone to occur in the chest,the pain after gastric ESD was prone to occur in the upper abdomen,and the pain after intestinal ESD was prone to occur in the lower abdomen.Conclusion Patients with early gastrointestinal cancer diagnosed as esophageal malignancy,higher HEI score,the operation site located in the esophagus,longer anesthesia duration,longer surgical duration,postoperative gastric tube placement,preoperative history of pain,and postoperative fever and bleeding are more likely to suffer from pain after ESD.
Early gastrointestinal cancerEndoscopic submucosal dissectionPainInfluencing factor
万方数据
维普
