Analysis of Risk Factors for Postoperative Pain Following Arthroscopic Treatment of Shoulder Joint Diseases
Objective To investigate the risk factors for postoperative pain following arthroscopic treatment of shoulder joint diseases.Methods Data from 268 patients who underwent elective shoulder arthroscopy surgeries at the Second Affiliated Hospital of Air Force Medical University,spanning from September 2020 to January 2023,were selected.This cohort comprised 122 males and 146 females,with ages varying between 38 and 86 years,yielding an average age of(56.20±8.88)years.Pain levels were assessed using the numeric rating scale(NRS)on the 3rd day and 3 months post-surgery,with patients scoring NRS ≥ 4 being categorized into the postoperative pain group and those scoring NRS＜4 into the postoperative pain-free group.The influencing factors of pain at 3 days and 3 months post-surgery were compared between the two groups,followed by multivariate logistic regression analysis to screen for independent risk factors leading to postoperative pain.The Constant-Murley shoulder function score was used to evaluate the postoperative efficacy at 3 months,and differences between the two groups were analyzed.Results All 268 patients underwent follow-up assessments for three months post-surgery.On the third day post-operation,198 patients(73.88％)reported experiencing moderate to severe pain.The study identified being female,having accompanying anxiety,and preoperative moderate to severe pain as significant risk factors for postoperative pain following shoulder arthroscopy(P＜0.05).At the three-month follow-up,66 patients(24.63％)still experienced moderate to severe pain,with female gender,coexisting anxiety,sleep disorders,and smaller rotator cuff tears emerging as risk factors for pain at this time point(P＜0.05).Notably,the Constant-Murley shoulder function score at three months for the pain-free group was significantly higher,at 92.74(92.00,92.48),compared to 90.65(88.98,92.32)for the pain group(P＜0.05).Conclusion Patients who are female,accompanied by anxiety,sleep disorders,and smaller rotator cuff tears experience more severe pain within 3 months post-surgery.It is recommended to strengthen preoperative and postoperative analgesia and psychological counseling for such patients,and to develop personalized analgesia and rehabilitation plans to reduce the incidence of moderate to severe postoperative pain.
shoulder arthroscopypostoperative painpain numerical analog scalerotator cuff tearrisk factors
万方数据
维普
