Analysis on Pain Follow-Up after Discharged in Patients with Liver Resection_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 QIAOXiao-fei ,  JIAWei-dong , LüJian-guo , TIANWei-hong , ZHOUHong

Department of Hepatic Surgery, Anhui Provincial Hospital, Anhui Key Laboratory of Hepatopancreatobiliary Surgery, Hefei 230001, Anhui Province, China;

Corresponding?author：

JIAWei-dong, Email: jwd1968@sina.com

Keywords：

Liver resection; Chronic pain; Follow-up after discharge

DOI：

10.7507/1007-9424.20150304

Video：

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Objective To follow-up pain after discharged in patients with liver resection and provide a reference to carry out the continued pain treatment outside the hospital. Methods Post-discharged pain follow-up in patients with liver resection in our department from December 1, 2014 to April 30, 2015 were conducted, and the pain incidence, characteristics and level on 14 days, 1 month, 2 months, and 3 months after operation were understanded. Results ①The pain score of patients on 14 days after operation was 0-3 points, which was mild pain. In 2 months after operation, 24 patients still had pain, the incidence was 20.69% (24/116). In 3 months after operation, the pain incidence was 18.97% (22/116).②There was no significant difference in the pain incidence between men and women in 2 months after operation (P > 0.05). In 3 months after operation, the pain incidence of male and female patients was 13.04% (9/69) and 27.66% (13/47), respectively, the pain incidence of female was significantly higher than men (P < 0.05).③The postoperative pain score and incidence in patients more than 60 years old were lower than that in patients less than 60 years old, but the score and the incidence of postoperative pain in patients with different ages were not statistically significant (P > 0.05).④In chronic pain patients, 81.82% (18/22) were visceral pain, 18.182% (4/22) were skin tingling or numbness. Conclusion We should focus on the continued pain treatment outside the hospital in patients with hepatic resection, make efforts to alleviate pain, and improve the postoperative quality of life.

Citation： QIAOXiao-fei, JIAWei-dong, LüJian-guo, TIANWei-hong, ZHOUHong. Analysis on Pain Follow-Up after Discharged in Patients with Liver Resection. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(10): 1168-1170. doi: 10.7507/1007-9424.20150304 Copy

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2.	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.
3.	Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain:risk factors and prevention. Lancet, 2006, 367(9522):1618-1625.
4.	中華醫學會麻醉學分會.成人術后疼痛處理專家共識.臨床麻醉學志, 2010, 26(3):190-196.
5.	Erdek MA, Staats PS. Chronic pain and thoracic surgery. Thorac Surg Clin, 2005, 15(1):123-130.
6.	Taillefer MC, Carrier M, Belisle S, et al. Prevalence, characteristics, and predictors of chronic nonanginal postoperative pain after a cardiac operation:a cross-sectional study. J Thorac Cardiovasc Surg, 2006, 131(6):1274-1280.
7.	周紅, 喬曉斐, 莢衛東, 等.無痛病房規范化疼痛管理對肝癌患者術后疼痛控制的效果觀察.實用肝臟病雜志, 2014, 17(6):647-649.
8.	喬曉斐, 宋瑰琦, 莢衛東.規范化疼痛評估在肝臟外科臨床實踐效果.安徽醫學, 2015, 36(8):1007-1010.
9.	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(1):42.
10.	Meilahn EN. Assoeiation of sex hormones and adiposity with plasma level of fibrinogen and PAL lin postmenopausal women. Am J Epidemiol, 1996, 143(2):159-165.
11.	莢衛東.精準肝切除治療肝細胞癌關鍵技術.中國普通外科雜志, 2014, 23(1):1-5.
12.	駱鵬飛, 莢衛東, 許戈良, 等.肝切除術后疼痛分析.中華普通外科雜志, 2015, 30(3):194-197.
13.	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.
14.	王偉娜, 莢衛東, 宋瑰琦, 等.無痛病房管理模式在肝癌患者圍術期的應用. 2014, 17(27):3256-3260.
15.	黃天雯, 何翠環, 陳曉玲, 等.骨科無痛病房護理工作模式的建立.中華護理雜志, 2011, 46(3):221-224.
16.	程凌燕, 李亞楠, 范冬蔡, 等.建立"無痛病房"提高專科疼痛護理水平的做法及效果, 2012, 29(17):1-4.
17.	羅愛林, 鄭華.外科患者術后疼痛管理.臨床外科雜志, 2015, 23(1):21-23.
18.	Wu CL, Raja SN. Treatment of acute postoperative pain. Lancet, 2011, 377(9784):2215-2225.
19.	Vadivelu N, Mitra S, Narayan D. Recent advances in postoperative pain management. Yale J Biol Med, 2010, 83(1):11-25.
20.	Pogatzki EM, Gebhart GF, Brennan TJ. Characterization of Adeltaand C-fibers innervating the plantar rat hindpaw one day after an incision. J Neurophysiol, 2002, 87(2):721-731.
21.	Woo YC, Park SS, Subieta AR, et al. Changes in tissue pH and temperature after incision indicate acidosis may contribute to postoperative pain. Anesthesiology, 2004, 101(2):468-475.
22.	Pogatzki-Zahn EM, Zahn PK, Brennan TJ. Postoperative pain-clinical implications of basic research. Best Pract Res Clin Anaesthesiol, 2007, 21(1):3-13.
23.	Brennan TJ. Pathophysiology of postoperative pain. Pain, 2011, 152(3 Suppl):S33-S40.
24.	Sato C, Sakai A, Ikeda Y, et al. The prolonged analgesic effect of epidural ropivacaine in a rat model of neuropathic pain. Anesth Analg, 2008, 106(1):313-320.

1. 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, 36:170-180.
2. 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.
3. Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain:risk factors and prevention. Lancet, 2006, 367(9522):1618-1625.
4. 中華醫學會麻醉學分會.成人術后疼痛處理專家共識.臨床麻醉學志, 2010, 26(3):190-196.
5. Erdek MA, Staats PS. Chronic pain and thoracic surgery. Thorac Surg Clin, 2005, 15(1):123-130.
6. Taillefer MC, Carrier M, Belisle S, et al. Prevalence, characteristics, and predictors of chronic nonanginal postoperative pain after a cardiac operation:a cross-sectional study. J Thorac Cardiovasc Surg, 2006, 131(6):1274-1280.
7. 周紅, 喬曉斐, 莢衛東, 等.無痛病房規范化疼痛管理對肝癌患者術后疼痛控制的效果觀察.實用肝臟病雜志, 2014, 17(6):647-649.
8. 喬曉斐, 宋瑰琦, 莢衛東.規范化疼痛評估在肝臟外科臨床實踐效果.安徽醫學, 2015, 36(8):1007-1010.
9. 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(1):42.
10. Meilahn EN. Assoeiation of sex hormones and adiposity with plasma level of fibrinogen and PAL lin postmenopausal women. Am J Epidemiol, 1996, 143(2):159-165.
11. 莢衛東.精準肝切除治療肝細胞癌關鍵技術.中國普通外科雜志, 2014, 23(1):1-5.
12. 駱鵬飛, 莢衛東, 許戈良, 等.肝切除術后疼痛分析.中華普通外科雜志, 2015, 30(3):194-197.
13. 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.
14. 王偉娜, 莢衛東, 宋瑰琦, 等.無痛病房管理模式在肝癌患者圍術期的應用. 2014, 17(27):3256-3260.
15. 黃天雯, 何翠環, 陳曉玲, 等.骨科無痛病房護理工作模式的建立.中華護理雜志, 2011, 46(3):221-224.
16. 程凌燕, 李亞楠, 范冬蔡, 等.建立"無痛病房"提高專科疼痛護理水平的做法及效果, 2012, 29(17):1-4.
17. 羅愛林, 鄭華.外科患者術后疼痛管理.臨床外科雜志, 2015, 23(1):21-23.
18. Wu CL, Raja SN. Treatment of acute postoperative pain. Lancet, 2011, 377(9784):2215-2225.
19. Vadivelu N, Mitra S, Narayan D. Recent advances in postoperative pain management. Yale J Biol Med, 2010, 83(1):11-25.
20. Pogatzki EM, Gebhart GF, Brennan TJ. Characterization of Adeltaand C-fibers innervating the plantar rat hindpaw one day after an incision. J Neurophysiol, 2002, 87(2):721-731.
21. Woo YC, Park SS, Subieta AR, et al. Changes in tissue pH and temperature after incision indicate acidosis may contribute to postoperative pain. Anesthesiology, 2004, 101(2):468-475.
22. Pogatzki-Zahn EM, Zahn PK, Brennan TJ. Postoperative pain-clinical implications of basic research. Best Pract Res Clin Anaesthesiol, 2007, 21(1):3-13.
23. Brennan TJ. Pathophysiology of postoperative pain. Pain, 2011, 152(3 Suppl):S33-S40.
24. Sato C, Sakai A, Ikeda Y, et al. The prolonged analgesic effect of epidural ropivacaine in a rat model of neuropathic pain. Anesth Analg, 2008, 106(1):313-320.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis on Pain Follow-Up after Discharged in Patients with Liver Resection

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