Meta-analysis of influencing factors of postoperative pain in senile patients with osteoporotic vertebral compression frac-tures
Objective To provide effective nursing measures for postoperative pain of senile osteoporotic vertebral compression fracture,and to provide reference for the formulation of effective nursing measures for these patients.Methods To systematically search relevant literatures on the factors affecting postoperative pain in senile osteoporotic vertebral compression fractures from CNKI,Wanfang Database,VIP database,Embase,Web of Science,PubMed and the Cochrane Library.The search period was from the estab-lishment of the database to December 1,2023.The research questions were determined,the content was extracted,the literature quali-ty was evaluated,and the summary analysis was carried out.Results A total of 8 literatures were included.The results of meta-anal-ysis showed that bone cement diffusion to the fracture line before surgery(OR=3.06,95％CI 1.09～8.63,P=0.030),bone cement leakage(OR=3.10,95％CI 1.39～6.91,P=0.006),preoperative low bone mineral density(OR=1.95,95％CI 1.60～2.38,P＜0.00001),lumbar and dorsal fascia injury(OR=4.55,95％CI 2.48～8.34,P＜0.001),poor vertebral recovery(OR=3.02,95％CI 1.14～7.99,P=0.030),age(OR=2.26,95％CI 1.10～4.63,P=0.030),history of lumbar injury(OR=2.72,95％CI 1.53～4.83,P＜0.001),infection(OR=5.40,95％CI 2.57～11.34,P＜0.001).Conclusion Existing evidence suggests that lack of diffusion of bone cement to the preoperative fracture line,leakage of bone cement,preoperative low bone mineral density,lum-bar and dorsal fascia injury,poor vertebral recovery,age,history of trauma or previous lumbar injury,and infection are factors influen-cing postoperative pain in osteoporotic vertebral compression fractures.Nursing staff should conduct early screening and intervention in combination with influencing factors,strengthen the comprehensive anti-osteoporosis treatment of patients after surgery,conduct pe-riodic rehabilitation training in a timely manner,and evaluate the amount of bone cement injection according to the patient's condition to reduce the incidence of postoperative pain.
万方数据
维普
