医学
围手术期
慢性疼痛
神经病理性疼痛
麻醉
前瞻性队列研究
定量感官测试
优势比
外科
内科学
物理疗法
感觉系统
心理学
认知心理学
作者
Guang Wang,Miao He,Xiaolin Ji,Xiuli Wang,Yi Feng
标识
DOI:10.1053/j.jvca.2022.03.015
摘要
To examine whether perioperative thermal quantitative sensory testing could be used to identify patients at high risk of chronic pain after video-assisted thoracoscopic surgery (VATS).A single-center, prospective, observational study.At the Peking University People's Hospital.A total of 111 patients scheduled to undergo VATS were enrolled.Quantitative sensory testing was conducted at the anterior intercostal incision prior to surgery and after chest tube removal.The patient's chronic pain was assessed at 3 months after surgery using a questionnaire. The incidence of chronic pain was 35 out of 107 evaluable patients (32.7%). Among the 35 patients with chronic pain, 26 had features characteristic of neuropathic pain (74.3%). Compared to the patients without chronic pain, subjects with chronic pain had a significantly greater perioperative change in cold pain threshold (CPT; p = 0.032), but not cold detection threshold, warm detection threshold, and hot pain threshold . In the multivariate regression, perioperative CPT change was associated with chronic pain after VATS (odds ratio = 1.043, p = 0.026).Chronic pain after VATS is typically neuropathic. The change in perioperative CPT at the incision site may help to identify patients at higher risk of chronic pain after VATS.
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