全膝关节置换术后慢性疼痛影响因素及临床常用评估工具研究进展
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v7i4.15530
Abstract
全膝关节置换术(TKA)是膝关节骨性关节炎中晚期有效治疗方法,术后慢性疼痛(CPSP)又是全膝关节置换术后最常见的并发症之一。本文对全膝关节置换术后慢性疼痛相关影响因素及术后慢性疼痛的疼痛评估工具进行综述,为预防和管理全膝关节置换术后慢性疼痛提供有效的理论依据,并为临床实践提供具有针对性的疼痛管理策略,从而降低TKA术后CPSP的发生率,提高患者生活质量。
Keywords
膝关节骨性关节炎；全膝关节置换术；术后慢性疼痛；影响因素；评估工具
Funding
青海省科技厅重点研发与转化计划(2020-SF-135)。
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[1] 中华医学会骨科学分会关节外科学组,中国医师协会骨科医师分会骨关节炎学组, 国家老年疾病临床医学研究中心(湘雅医院),等.中国骨关节炎诊疗指南(2021年版)[J].中华骨科杂志,2021,41(18):1291-1314.
[2] 陈旭娟.全膝关节置换术后慢性疼痛的非手术相关影响因素的研究进展[J].临床与病理杂志,2021,41(2):449-455.
[3] Gil JA,Hresko AM,Weiss AC. Current Concepts in the Mana gement of Trigger Finger in Adults[J].J Am Acad Orthop Surg, 2020,28(15):e642-e650.
[4] 罗海萍,田梅梅.全膝关节置换术后病人慢性疼痛的影响因素分析及预测模型构建[J].护理研究,2022,36(7):1281-1286.
[5] 万国立,史晨辉,王维山.全膝关节置换后慢性疼痛影响因素的回顾性分析[J].中国组织工程研究,2023,27(4):558-564.
[6] Semih G,Kara F,Rohit A, et al.Incidence and risk factors for development of persistent postsurgical pain following tot al knee arthroplasty: A retrospective cohort study[J].MEDICI NE,2019,98(28):e16450.DOI:10.1097/MD.0000000000016450.
[7] Koji A,Masahiko I, Shogo T,et al.Chronic postsurgical pain after total knee arthroplasty: A prospective cohort study in Japan ese population[J].Modern Rheumatology,2021,31(5):1038-1044.
[8] 高安,康芳.术后慢性疼痛的研究进展[J].中国临床保健杂志,2021,24(2):279-283.
[9] 丁婉兰.全膝关节置换术后慢性疼痛的影响因素分析[J].护理实践与研究,2021,18(23):3516-3519.
[10] 孙欣,历广招,孙一诺,等.全膝关节置换术后患者慢性疼痛的研究进展[J].解放军护理杂志,2020,37(10):71-73.
[11] 张宪发,刘阔沦,李涛.全膝关节置换术后慢性疼痛危险因素的Meta分析[J].中国疗养医学,2023,32(10):1052-1058.
[12] 万丽,赵晴,陈军,等.疼痛评估量表应用的中国专家共识(2020版)[J].中华疼痛学杂志,2020,16(3):11.
[13] 曹颖,廖玲,覃焦,等.成人术后急性疼痛评估工具的范围综述[J].护理学杂志,2023,38(7):110-116.
[14] 刘威,李文龙,丁娟,等.全膝关节置换术后慢性疼痛的非手术影响因素研究进展[J].中医正骨,2022,34(8):59-61,75.
[15] Nwankwo VC,Jiranek WA, Green CL,et al.Resilience and pain catastrophizing among patients with total knee arthrop lasty: a cohort study to examine psychological constructs as predictors of post-operative outcomes[J].Health Qual Life Outcomes,2021,19(1):136.DOI:10.1186/s12955-021-01772-2.
[16] Cremeans-Smith JK,Greene K,Delahanty DL. Resilience and recovery from total knee arthroplasty (TKA): a pathway for optimizing patient outcomes[J].J Behav Med,2022,45(3):481-489.DOI:10.1007/s10865-022-00287-5.
[17] 姚静,戈春梅,钱秋月.心理干预对全膝关节置换术患者的影响[J].心理月刊,2022,17(11):201-203.
[18] Bellamy N,Kirwan J,Boers M,et al.Recommendations for a core set of outcome measures for future phase III clinical trials in knee, hip, and hand osteoarthritis.Consensus develo pment at OMERACT III[J].J Rheumatol,1997,24(4):799-802.
[19] da Silva Júnior J,Dibai-Filho AV, Santos IS,et al.Mea surement properties of the short version of the Western Onta rio and McMaster Universities Arthritis Index(WOMAC)for indiv iduals with knee osteoarthritis[J]. BMC Musculoskelet Disord,2023,24(1):574.DOI:10.1186/s12891-023-06696-0.
[20] 郑奕贞,老锦雄.培元养心针灸法治疗膝骨关节炎的临床观察[J].广州中医药大学学报,2023,40(2):381-385.
[21] 李虎.浮针治疗老年膝骨关节炎的疗效观察及对疼痛和关节功能的影响[J].上海针灸杂志,2022,41(9):907-911.
[22] 黄春艳,刘方.中医护理干预对老年膝骨性关节炎效果及WOMAC评分的影响[J].中医临床研究,2022,14(4):110-114.
[23] 刘亮先,王祖红,王玲玲,等.时空针灸灵龟八法治疗膝骨关节炎疗效观察[J].上海针灸杂志,2021,40(3):347-351.
[24] 李子怡,宋为群,杜巨豹,等.骨科康复一体化模式下膝关节单髁置换术后1年内膝关节功能康复转归的临床研究[J].中国康复医学杂志,2023,38(4):459-465,471.
[25] 韩雪,刘云,包倪荣,等.全膝关节置换术后患者康复自我效能现状及影响因素[J].中国医药导报,2020,17(15):48-51.
[26] 沈正东,于慧敏,王俊婷,等.改良版西安大略和麦克马斯特大学骨关节炎指数量表在膝骨关节炎中的应用[J].中华医学杂志,2019,99(7):537-541.
[27] 顾海燕.不同术中止血带压力与时长对人工全膝关节置换术患者康复的影响[J].护理实践与研究,2022,19(17):2609-2613.
[28] 万国立.膝关节置换术后慢性疼痛影响因素分析及风险预测研究[D].石河子大学,2022.
[29] Huang Z,Xie X,Li L,et al.Intravenous and Topical Trane xamic Acid Alone Are Superior to Tourniquet Use for Primary Total Knee Arthroplasty:A Prospective, Randomized Controlled Trial[J].J Bone Joint Surg Am,2017,99(24):2053-2061.
[30] 高速,周新.止血带使用与否对全膝关节置换术早期临床疗效的影响分析[J].医学理论与实践,2023,36(9):1456-1459.
[31] McCarthy Deering E,Hu SY,Abdulkarim A.Does Tourniquet Use in TKA Increase Postoperative Pain? A Systematic Review andMeta-analysis[J].Clin Orthop Relat Res,2019,477(3):547-558.
[32] Chaudhry EA,Aziz A,Faraz A,et al.Application of Tourn iquet Does Not Influence Early Clinical Outcomes After Total Knee Arthroplasty[J].Cureus,2021,13(1):e12435.
[33] Turcot K,Armand S,Lübbeke A,et al.Does knee alignme nt influence gait in patients with severe knee osteoarthrit is?[J].Clin Biomech(Bristol, Avon),2013,28(1):34-39.
[34] 闫伟宁.全膝关节置换术后疼痛影响因素的研究[D].山东:青岛大学,2021.
[35] Weber P,Gollwitzer H.Kinematic alignment in total knee arthroplasty[J].Oper Orthop Traumatol,2021,33(6):525-537.
[36] 陈冬圭,陈慧晓.老年髋关节置换术后慢性疼痛调查及危险因素分析[J].健康研究,2022,42(02):204-207+211.
[37] 谷宇欣.阶段性康复护理干预对人工髋关节置换术患者术后疼痛及康复效果的影响[J].实用中西医结合临床,2023,23(08):111-114.
[38] 陈琼,顾建芳,郁嘉娴.常熟市全髋关节置换患者术后早期康复的现状及影响因素分析[J].医药前沿,2019,9(13):239-241.
[39] Buvanendran A,Della Valle CJ,Kroin JS,et al.Acute post operative pain is an independent predictor of chronic postsu rgical pain following total knee arthroplasty at 6 months: a prospective cohort study[J]. Reg Anesth Pain Med, 2019, 44(3): e100036[pii].DOI:10.1136/rapm-2018-100036.
[40] Fletcher D, Stamer UM, Pogatzki-Zahn E, et al. Chronic postsurgical pain in Europe: An observational study[J]. Eur J Anaesthesiol,2015,32(10):725-734.
[41] Latijnhouwers D, Martini CH, Nelissen R, et al. Acute pain after total hip and knee arthroplasty does not affect chronic pain during the first postoperative year: observatio nal cohort study of 389 patients[J]. Rheumatol Int, 2022, 42(4):689-698.DOI:10.1007/s00296-022-05094-4.
[42] 梅玲,赵玉莹.快速康复护理对全膝关节置换术后膝关节功能恢复的效果[J].川北医学院学报,2021,36(8):1082-1084.
[43] Sugiyama Y,Iida H,Amaya F,et al.Prevalence of chronic postsurgical pain after thoracotomy and total knee arthropl asty: a retrospective multicenter study in Japan (Japanese Study Group of Subacute Postoperative Pain)[J].J Anesth, 2018,32(3):434-438.DOI:10.1007/s00540-018-2481-0.
[44] Williamson A,Hoggart B.Pain:a review of three common ly used pain rating scales[J]. J Clin Nurs, 2005, 14(7):798-804.DOI:10.1111/j.1365-2702.2005.01121.x.
[45] 陕敏娟,王峻.骨科创伤病人术后疼痛危险因素分析[J].全科护理,2020,18(23):2972-2976.
[46] 张劲军,梁成杰,李伟红,等.初次单侧全膝关节置换术后慢性疼痛围术期危险因素分析[J].中山大学学报 (医学科学版),2021,42(6):906-912.
[2] 陈旭娟.全膝关节置换术后慢性疼痛的非手术相关影响因素的研究进展[J].临床与病理杂志,2021,41(2):449-455.
[3] Gil JA,Hresko AM,Weiss AC. Current Concepts in the Mana gement of Trigger Finger in Adults[J].J Am Acad Orthop Surg, 2020,28(15):e642-e650.
[4] 罗海萍,田梅梅.全膝关节置换术后病人慢性疼痛的影响因素分析及预测模型构建[J].护理研究,2022,36(7):1281-1286.
[5] 万国立,史晨辉,王维山.全膝关节置换后慢性疼痛影响因素的回顾性分析[J].中国组织工程研究,2023,27(4):558-564.
[6] Semih G,Kara F,Rohit A, et al.Incidence and risk factors for development of persistent postsurgical pain following tot al knee arthroplasty: A retrospective cohort study[J].MEDICI NE,2019,98(28):e16450.DOI:10.1097/MD.0000000000016450.
[7] Koji A,Masahiko I, Shogo T,et al.Chronic postsurgical pain after total knee arthroplasty: A prospective cohort study in Japan ese population[J].Modern Rheumatology,2021,31(5):1038-1044.
[8] 高安,康芳.术后慢性疼痛的研究进展[J].中国临床保健杂志,2021,24(2):279-283.
[9] 丁婉兰.全膝关节置换术后慢性疼痛的影响因素分析[J].护理实践与研究,2021,18(23):3516-3519.
[10] 孙欣,历广招,孙一诺,等.全膝关节置换术后患者慢性疼痛的研究进展[J].解放军护理杂志,2020,37(10):71-73.
[11] 张宪发,刘阔沦,李涛.全膝关节置换术后慢性疼痛危险因素的Meta分析[J].中国疗养医学,2023,32(10):1052-1058.
[12] 万丽,赵晴,陈军,等.疼痛评估量表应用的中国专家共识(2020版)[J].中华疼痛学杂志,2020,16(3):11.
[13] 曹颖,廖玲,覃焦,等.成人术后急性疼痛评估工具的范围综述[J].护理学杂志,2023,38(7):110-116.
[14] 刘威,李文龙,丁娟,等.全膝关节置换术后慢性疼痛的非手术影响因素研究进展[J].中医正骨,2022,34(8):59-61,75.
[15] Nwankwo VC,Jiranek WA, Green CL,et al.Resilience and pain catastrophizing among patients with total knee arthrop lasty: a cohort study to examine psychological constructs as predictors of post-operative outcomes[J].Health Qual Life Outcomes,2021,19(1):136.DOI:10.1186/s12955-021-01772-2.
[16] Cremeans-Smith JK,Greene K,Delahanty DL. Resilience and recovery from total knee arthroplasty (TKA): a pathway for optimizing patient outcomes[J].J Behav Med,2022,45(3):481-489.DOI:10.1007/s10865-022-00287-5.
[17] 姚静,戈春梅,钱秋月.心理干预对全膝关节置换术患者的影响[J].心理月刊,2022,17(11):201-203.
[18] Bellamy N,Kirwan J,Boers M,et al.Recommendations for a core set of outcome measures for future phase III clinical trials in knee, hip, and hand osteoarthritis.Consensus develo pment at OMERACT III[J].J Rheumatol,1997,24(4):799-802.
[19] da Silva Júnior J,Dibai-Filho AV, Santos IS,et al.Mea surement properties of the short version of the Western Onta rio and McMaster Universities Arthritis Index(WOMAC)for indiv iduals with knee osteoarthritis[J]. BMC Musculoskelet Disord,2023,24(1):574.DOI:10.1186/s12891-023-06696-0.
[20] 郑奕贞,老锦雄.培元养心针灸法治疗膝骨关节炎的临床观察[J].广州中医药大学学报,2023,40(2):381-385.
[21] 李虎.浮针治疗老年膝骨关节炎的疗效观察及对疼痛和关节功能的影响[J].上海针灸杂志,2022,41(9):907-911.
[22] 黄春艳,刘方.中医护理干预对老年膝骨性关节炎效果及WOMAC评分的影响[J].中医临床研究,2022,14(4):110-114.
[23] 刘亮先,王祖红,王玲玲,等.时空针灸灵龟八法治疗膝骨关节炎疗效观察[J].上海针灸杂志,2021,40(3):347-351.
[24] 李子怡,宋为群,杜巨豹,等.骨科康复一体化模式下膝关节单髁置换术后1年内膝关节功能康复转归的临床研究[J].中国康复医学杂志,2023,38(4):459-465,471.
[25] 韩雪,刘云,包倪荣,等.全膝关节置换术后患者康复自我效能现状及影响因素[J].中国医药导报,2020,17(15):48-51.
[26] 沈正东,于慧敏,王俊婷,等.改良版西安大略和麦克马斯特大学骨关节炎指数量表在膝骨关节炎中的应用[J].中华医学杂志,2019,99(7):537-541.
[27] 顾海燕.不同术中止血带压力与时长对人工全膝关节置换术患者康复的影响[J].护理实践与研究,2022,19(17):2609-2613.
[28] 万国立.膝关节置换术后慢性疼痛影响因素分析及风险预测研究[D].石河子大学,2022.
[29] Huang Z,Xie X,Li L,et al.Intravenous and Topical Trane xamic Acid Alone Are Superior to Tourniquet Use for Primary Total Knee Arthroplasty:A Prospective, Randomized Controlled Trial[J].J Bone Joint Surg Am,2017,99(24):2053-2061.
[30] 高速,周新.止血带使用与否对全膝关节置换术早期临床疗效的影响分析[J].医学理论与实践,2023,36(9):1456-1459.
[31] McCarthy Deering E,Hu SY,Abdulkarim A.Does Tourniquet Use in TKA Increase Postoperative Pain? A Systematic Review andMeta-analysis[J].Clin Orthop Relat Res,2019,477(3):547-558.
[32] Chaudhry EA,Aziz A,Faraz A,et al.Application of Tourn iquet Does Not Influence Early Clinical Outcomes After Total Knee Arthroplasty[J].Cureus,2021,13(1):e12435.
[33] Turcot K,Armand S,Lübbeke A,et al.Does knee alignme nt influence gait in patients with severe knee osteoarthrit is?[J].Clin Biomech(Bristol, Avon),2013,28(1):34-39.
[34] 闫伟宁.全膝关节置换术后疼痛影响因素的研究[D].山东:青岛大学,2021.
[35] Weber P,Gollwitzer H.Kinematic alignment in total knee arthroplasty[J].Oper Orthop Traumatol,2021,33(6):525-537.
[36] 陈冬圭,陈慧晓.老年髋关节置换术后慢性疼痛调查及危险因素分析[J].健康研究,2022,42(02):204-207+211.
[37] 谷宇欣.阶段性康复护理干预对人工髋关节置换术患者术后疼痛及康复效果的影响[J].实用中西医结合临床,2023,23(08):111-114.
[38] 陈琼,顾建芳,郁嘉娴.常熟市全髋关节置换患者术后早期康复的现状及影响因素分析[J].医药前沿,2019,9(13):239-241.
[39] Buvanendran A,Della Valle CJ,Kroin JS,et al.Acute post operative pain is an independent predictor of chronic postsu rgical pain following total knee arthroplasty at 6 months: a prospective cohort study[J]. Reg Anesth Pain Med, 2019, 44(3): e100036[pii].DOI:10.1136/rapm-2018-100036.
[40] Fletcher D, Stamer UM, Pogatzki-Zahn E, et al. Chronic postsurgical pain in Europe: An observational study[J]. Eur J Anaesthesiol,2015,32(10):725-734.
[41] Latijnhouwers D, Martini CH, Nelissen R, et al. Acute pain after total hip and knee arthroplasty does not affect chronic pain during the first postoperative year: observatio nal cohort study of 389 patients[J]. Rheumatol Int, 2022, 42(4):689-698.DOI:10.1007/s00296-022-05094-4.
[42] 梅玲,赵玉莹.快速康复护理对全膝关节置换术后膝关节功能恢复的效果[J].川北医学院学报,2021,36(8):1082-1084.
[43] Sugiyama Y,Iida H,Amaya F,et al.Prevalence of chronic postsurgical pain after thoracotomy and total knee arthropl asty: a retrospective multicenter study in Japan (Japanese Study Group of Subacute Postoperative Pain)[J].J Anesth, 2018,32(3):434-438.DOI:10.1007/s00540-018-2481-0.
[44] Williamson A,Hoggart B.Pain:a review of three common ly used pain rating scales[J]. J Clin Nurs, 2005, 14(7):798-804.DOI:10.1111/j.1365-2702.2005.01121.x.
[45] 陕敏娟,王峻.骨科创伤病人术后疼痛危险因素分析[J].全科护理,2020,18(23):2972-2976.
[46] 张劲军,梁成杰,李伟红,等.初次单侧全膝关节置换术后慢性疼痛围术期危险因素分析[J].中山大学学报 (医学科学版),2021,42(6):906-912.
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