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Pain Intensity in the First 96 Hours After Abdominal Surgery: A Prospective Cohort Study

机译：腹部手术后头96小时的疼痛强度：一项潜在的队列研究

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摘要

Objective. Multimodal pain management strategies aim to improve postoperative pain control. The purpose of this study was to analyze pain scores and risk factors for acute postoperative pain after various abdominal surgery procedures. Methods. Data on 11 different abdominal surgery procedures were prospectively recorded. Pain intensity (rest, mobilization) and patient satisfaction at discharge were assessed using a visual analog scale (VAS; 0-10), and analgesic consumption was recorded until 96 hours postoperation. Demographic, surgery-related, and pain management-related univariate risk factors for insufficient pain control (VAS >= 4) were entered in a multivariate logistic regression model. Results. A total of 1,278 patients were included. Overall, mean VAS scores were = 4 at mobilization at 24 hours, significantly higher than at rest (14%, P = 4) was younger age (<70 years, P = 0.001). The mean satisfaction score was 8.1861.29. Conclusions. Among 1,278 patients, pain was controlled adequately during the first four postoperative days, resulting in high levels of patient satisfaction. Pain levels were higher at mobilization. Younger age was the only independent risk factor for insufficient pain control. Preventive treatment in patients <70 years old and before mobilization could be evaluated for potential improvement.
机译：客观的。多模式疼痛管理策略旨在改善术后疼痛控制。本研究的目的是分析各种腹部手术程序后急性术后疼痛的疼痛评分和危险因素。方法。对11种不同腹部手术程序的数据进行了预期记录。使用视觉模拟量表评估疼痛强度（休息，动员）和患者满意度，并记录镇痛消耗直至术后96小时。在多变量逻辑回归模型中进入了对疼痛控制不足（VAS> = 4）不足的人口统计学，手术相关和疼痛管理相关的单变量危险因素。结果。共有1,278名患者。总体而言，平均VAS分数= 4在24小时时动员= 4，显着高于休息（14％，P = 4）较年轻（<70岁，P = 0.001）。平均满意度得分为8.1861.29。结论。在1,278名患者中，在前四个术后天期间，疼痛充分控制，导致患者满意度高。动员疼痛水平较高。较年轻的年龄是疼痛控制不足的独立危险因素。患者预防治疗<70岁及动员之前可以评估潜在的改进。

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