Analysis on pain after discharged in patients with radical total gastrectomy under painless ward management_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Wenbin , YANG Xuewen , XU Guanghui , XIAO Shuao , CAI Lei , SUN Li ,  ZHANG Hongwei

Department of Digestive Surgrey, The First Affiliated Hospital of Air Force Military Medical University, Xi’an 710032, P. R. China;

Corresponding?author：

ZHANG Hongwei, Email: zhanghw@fmmu.edu.cn

Keywords：

painless ward; pain; radical total gastrectomy; follow-up after discharge

DOI：

10.7507/1007-9424.201711031

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the pain after discharged in patients with radical total gastrectomy under painless ward management, and to analyze the causes of pain in order to guide the treatment strategy after discharge. Methods Retrospective analysis was performed on the pain data of 82 patients who underwent radical total gastrectomy in The First Affiliated Hospital of Air Force Military Medical University from December 2015 to April 2017, and the situation of pain was followed-up at 2 weeks, 1 month, 2 months, and 3 months after discharged. Results Mild pain occurred in 25 patients at the 2 weeks after discharged; mild pain occurred in 38 patients and moderate pain occurred in7 patients at the first month after discharged; mild pain occurred in 31 patients and moderate pain occurred in 4 patients at the second month after discharged; 19 patients had mild pain at the third month after discharged. There was no significant difference in pain scores between male patients and female patients, <60 years old patients and ≥60 years old patients, patients’ operative time<180 min and patients’ operative time ≥180 min, patients’ intraoperative blood loss<200 mL and patients’ intraoperative blood loss ≥200 mL at the all time points, including the second week, the first, the second, and the third month after discharge ( P>0.05). Conclusion Painless ward management can effectively control the degree of pain in discharged patients who underwent radical total gastrectomy.

Citation： WANG Wenbin, YANG Xuewen, XU Guanghui, XIAO Shuao, CAI Lei, SUN Li, ZHANG Hongwei. Analysis on pain after discharged in patients with radical total gastrectomy under painless ward management. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(6): 702-707. doi: 10.7507/1007-9424.201711031 Copy

1.	中華醫學會骨科學分會. 骨科常見疼痛的處理專家建議. 中華骨科雜志, 2008, 28(1): 78-81.
2.	中華醫學會麻醉學分會. 成人術后疼痛處理專家共識. 臨床麻醉學雜志, 2010, 26(3): 190-196.
3.	冷希圣, 韋軍民, 劉連新, 等. 普通外科圍手術期疼痛處理專家共識. 中華普通外科雜志, 2015, 30(2): 166-173.
4.	江志偉, 李寧, 黎介壽. 快速康復外科的概念及臨床意義. 中國實用外科雜志, 2007, 27(2): 131-133.
5.	Kehlet H. Fast-track colorectal surgery. Lancet, 2008, 371(9615): 791-793.
6.	McLeod RS, Aarts MA, Chung F, et al. Development of an Enhanced Recovery After Surgery Guideline and Implementation Strategy Based on the Knowledge-to-action Cycle. Ann Surg, 2015, 262(6): 1016-1025.
7.	Elvir-Lazo OL, White PF. Postoperative pain management after ambulatory surgery: role of multimodal analgesia. Anesthesiol Clin, 2010, 28(2): 217-224.
8.	Wu CL, Raja SN. Treatment of acute postoperative pain. Lancet, 2011, 377(9784): 2215-2225.
9.	American Society of Anesthesiologists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management. Anesthesiology, 2012, 116(2): 248-273.
10.	莢衛東, 喬曉斐. 精準肝臟外科時代無痛病房建設. 中華消化外科雜志, 2014, 13(6): 415-418.
11.	Brunelli C, Zecca E, Martini C, et al. Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain. Health Qual Life Outcomes, 2010, 8: 42.
12.	Wildgaard K, Ravn J, Kehlet H. Chronic post-thoracotomy pain: a critical review of pathogenic mechanisms and strategies for prevention. Eur J Cardiothorac Surg, 2009, 36(1): 170-180.
13.	許楊, 蘇園林. 手術或創傷后的慢性疼痛. 中國疼痛醫學雜志, 2011, 17(9): 536-537.
14.	McGreevy K, Bottros MM, Raja SN. Preventing Chronic Pain following Acute Pain: Risk Factors, Preventive Strategies, and their Efficacy. Eur J Pain Suppl, 2011, 5(2): 365-372.
15.	Baliki MN, Chialvo DR, Geha PY, et al. Chronic pain and the emotional brain: specific brain activity associated with spontaneous fluctuations of intensity of chronic back pain. J Neurosci, 2006, 26(47): 12165-12173.
16.	喬曉斐, 莢衛東, 呂建國, 等. 肝切除患者出院后疼痛隨訪分析. 中國普外基礎與臨床雜志, 2015, 22(10): 1168-1170.
17.	徐建國. 成人術后疼痛治療進展. 臨床麻醉學雜志, 2011, 27(3): 299-301.
18.	彭慕云, 楊曉蘇. 疼痛性別差異機制的研究進展. 中國疼痛醫學雜志, 2013, 19(11): 690-692, 697.
19.	Lawson KP, Nag S, Thompson AD, et al. Sex-specificity and estrogen-dependence of kappa opioid receptor-mediated antinociception and antihyperalgesia. Pain, 2010, 151(3): 806-815.
20.	Poleshuck EL, Katz J, Andrus CH, et al. Risk factors for chronic pain following breast cancer surgery: a prospective study. J Pain, 2006, 7(9): 626-634.
21.	Brennan TJ. Pathophysiology of postoperative pain. Pain, 2011, 152(3 Suppl): S33-S40.
22.	Kukushkin ML. Mechanism of development and principles of etiopathogenic therapy of chronic pain. Zh Nevrol Psikhiatr Im S S Korsakova, 2012, 112(2): 89-94.
23.	陳國良, 王梅, 路桂軍, 等. 慢性疼痛患者焦慮、抑郁狀況調查及相關因素分析. 中國疼痛醫學雜志, 2014, 20(4): 226-230, 235.
24.	謝曉燕, 張娟, 趙莉, 疼痛和抑郁共患機制的研究進展. 中國疼痛醫學雜志, 2016, 22(01): 50-54.
25.	Rottmann N, Dalton SO, Bidstrup PE, et al. No improvement in distress and quality of life following psychosocial cancer rehabilitation. A randomised trial. Psychooncology, 2012, 21(5): 505-514.
26.	Shipton EA. The transition from acute to chronic post surgical pain. Anaesth Intensive Care, 2011, 39(5): 824-836.

1. 中華醫學會骨科學分會. 骨科常見疼痛的處理專家建議. 中華骨科雜志, 2008, 28(1): 78-81.
2. 中華醫學會麻醉學分會. 成人術后疼痛處理專家共識. 臨床麻醉學雜志, 2010, 26(3): 190-196.
3. 冷希圣, 韋軍民, 劉連新, 等. 普通外科圍手術期疼痛處理專家共識. 中華普通外科雜志, 2015, 30(2): 166-173.
4. 江志偉, 李寧, 黎介壽. 快速康復外科的概念及臨床意義. 中國實用外科雜志, 2007, 27(2): 131-133.
5. Kehlet H. Fast-track colorectal surgery. Lancet, 2008, 371(9615): 791-793.
6. McLeod RS, Aarts MA, Chung F, et al. Development of an Enhanced Recovery After Surgery Guideline and Implementation Strategy Based on the Knowledge-to-action Cycle. Ann Surg, 2015, 262(6): 1016-1025.
7. Elvir-Lazo OL, White PF. Postoperative pain management after ambulatory surgery: role of multimodal analgesia. Anesthesiol Clin, 2010, 28(2): 217-224.
8. Wu CL, Raja SN. Treatment of acute postoperative pain. Lancet, 2011, 377(9784): 2215-2225.
9. American Society of Anesthesiologists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management. Anesthesiology, 2012, 116(2): 248-273.
10. 莢衛東, 喬曉斐. 精準肝臟外科時代無痛病房建設. 中華消化外科雜志, 2014, 13(6): 415-418.
11. Brunelli C, Zecca E, Martini C, et al. Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain. Health Qual Life Outcomes, 2010, 8: 42.
12. Wildgaard K, Ravn J, Kehlet H. Chronic post-thoracotomy pain: a critical review of pathogenic mechanisms and strategies for prevention. Eur J Cardiothorac Surg, 2009, 36(1): 170-180.
13. 許楊, 蘇園林. 手術或創傷后的慢性疼痛. 中國疼痛醫學雜志, 2011, 17(9): 536-537.
14. McGreevy K, Bottros MM, Raja SN. Preventing Chronic Pain following Acute Pain: Risk Factors, Preventive Strategies, and their Efficacy. Eur J Pain Suppl, 2011, 5(2): 365-372.
15. Baliki MN, Chialvo DR, Geha PY, et al. Chronic pain and the emotional brain: specific brain activity associated with spontaneous fluctuations of intensity of chronic back pain. J Neurosci, 2006, 26(47): 12165-12173.
16. 喬曉斐, 莢衛東, 呂建國, 等. 肝切除患者出院后疼痛隨訪分析. 中國普外基礎與臨床雜志, 2015, 22(10): 1168-1170.
17. 徐建國. 成人術后疼痛治療進展. 臨床麻醉學雜志, 2011, 27(3): 299-301.
18. 彭慕云, 楊曉蘇. 疼痛性別差異機制的研究進展. 中國疼痛醫學雜志, 2013, 19(11): 690-692, 697.
19. Lawson KP, Nag S, Thompson AD, et al. Sex-specificity and estrogen-dependence of kappa opioid receptor-mediated antinociception and antihyperalgesia. Pain, 2010, 151(3): 806-815.
20. Poleshuck EL, Katz J, Andrus CH, et al. Risk factors for chronic pain following breast cancer surgery: a prospective study. J Pain, 2006, 7(9): 626-634.
21. Brennan TJ. Pathophysiology of postoperative pain. Pain, 2011, 152(3 Suppl): S33-S40.
22. Kukushkin ML. Mechanism of development and principles of etiopathogenic therapy of chronic pain. Zh Nevrol Psikhiatr Im S S Korsakova, 2012, 112(2): 89-94.
23. 陳國良, 王梅, 路桂軍, 等. 慢性疼痛患者焦慮、抑郁狀況調查及相關因素分析. 中國疼痛醫學雜志, 2014, 20(4): 226-230, 235.
24. 謝曉燕, 張娟, 趙莉, 疼痛和抑郁共患機制的研究進展. 中國疼痛醫學雜志, 2016, 22(01): 50-54.
25. Rottmann N, Dalton SO, Bidstrup PE, et al. No improvement in distress and quality of life following psychosocial cancer rehabilitation. A randomised trial. Psychooncology, 2012, 21(5): 505-514.
26. Shipton EA. The transition from acute to chronic post surgical pain. Anaesth Intensive Care, 2011, 39(5): 824-836.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis on pain after discharged in patients with radical total gastrectomy under painless ward management

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content