Volume 20 Issue 9
Sep.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(9): 1498-1501
ZHAO Feng, YAN Feng, MENG Li-feng, WU Ju-sheng, GE Ke-liang, WANG Peng-yu, FENG Zhi-ying. Current situation and influencing factors of postoperative explosive pain in patients with femoral neck fracture[J]. Chinese Journal of General Practice, 2022, 20(9): 1498-1501. doi: 10.16766/j.cnki.issn.1674-4152.002633
Citation: ZHAO Feng, YAN Feng, MENG Li-feng, WU Ju-sheng, GE Ke-liang, WANG Peng-yu, FENG Zhi-ying. Current situation and influencing factors of postoperative explosive pain in patients with femoral neck fracture[J]. Chinese Journal of General Practice, 2022, 20(9): 1498-1501. doi: 10.16766/j.cnki.issn.1674-4152.002633
shu

Current situation and influencing factors of postoperative explosive pain in patients with femoral neck fracture

doi: 10.16766/j.cnki.issn.1674-4152.002633
  • 1.

    Department of Pain, Zhuji People's Hospital, Zhuji, Zhejiang 311899, China

Funds:

 2022ZA183

  • Received Date: 2022-03-18
    Available Online: 2022-11-29
    Abstract
  •   Objective  To analyse the current situation and influencing factors of postoperative explosive pain in patients with femoral neck fracture.  Methods  A total of 200 patients with femoral neck fracture treated in the Department of Orthopaedics of Zhuji People's Hospital from February 2019 to September 2021 were selected. All patients underwent surgery under ultrasound-guided lumbar plexus sciatic nerve block anaesthesia (73 cases of compression cannulated screw fixation, 65 cases of artificial femoral head replacement, and 62 cases of artificial total hip arthroplasty). Pain was evaluated by digital pain score (NRS) 12 - 24 h after operation, and the incidence of explosive pain was counted. According to the occurrence of explosive pain, the patients were divided into explosive and non-explosive-pain groups. The differences in relevant data (gender, age, nationality, educational level, body mass index, preoperative NRS score, operation time, anaesthesia time, ASA grade, operation mode, anaesthesia mode, osteoporosis, and postoperative complications) between the two groups were compared. The risk factors of the incidence of explosive pain were analysed by logistic analysis.  Results  The NRS score of 200 patients 12 - 24 h after operation was (6.22±1.63) points, and 131 patients had explosive pain. The incidence of explosive pain was 65.50%. The explosive and non-explosive-pain group had 131 and 69 cases, respectively. The age, preoperative NRS score, operation time, anaesthesia time, anaesthesia mode, osteoporosis, and postoperative complications of the two groups were compared (all P < 0.05). Multivariate logistic analysis showed that age (≥60 years old) was the protective factor of the incidence of explosive pain. Preoperative NRS score (≥6 points), operation time (≥126 min), anaesthesia time (≥135 min), anaesthesia mode (simple nerve block), and osteoporosis (yes) and postoperative complications (yes) were the risk factors.  Conclusion  The incidence of postoperative explosive pain in patients with femoral neck fracture is high. Preoperative pain, long operation time, long anaesthesia time, simple nerve block, osteoporosis, and postoperative complications are the influencing factors. Preventive intervention measures should be actively taken to reduce the risk of postoperative explosive pain.

     

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