Journal of Shandong University (Health Sciences) ›› 2024, Vol. 62 ›› Issue (2): 42-50.doi: 10.6040/j.issn.1671-7554.0.2023.0903

• Clinical Medicine • Previous Articles    

Postoperative pain associated with digestive endoscopic therapies: a retrospective cohort study

WU Shanshan1, WANG Shuren2, ZHAO Tonghang1, ZHANG Zongwang1   

  1. 1. Department of Anesthesiology, Liaocheng Peoples Hospital, Liaocheng 252000, Shandong, China;
    2. Department of Anesthesiology, Liaocheng Dongchangfu District Maternal and Child Health Hospital, Liaocheng 252000, Shandong, China
  • Published:2024-03-29

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Abstract: Objective To analyze the degrees of postoperative pain after different digestive endoscopic surgeries. so as to optimize the analgesia program and improve the comfort of patients. Methods A total of 1,657 patients were surveyed with the Chinese version of the Brief Pain Inventory(BPI-C). BPI-C score ≥4 indicated poor pain control. Factors affecting postoperative pain were evaluated with Logistic regression analysis. The degrees of pain at different time points in different surgeries were analyzed with generalized estimation equation(GEE). Results Altogether 7 common endoscopic surgeries were enrolled. Approximately 19.2% of the patients had BPI-C ≥4. GEE analysis showed that there were differences in postoperative pain among the 7 types of surgeries, and the pain intensity was different at different time points. The peak of postoperative pain occurred approximately 6 h after all kinds of surgeries(P<0.001), and 12.19% of the patients received postoperative analgesia, 31.14% of whom needed further analgesics. Conclusion Moderate to severe pain may occur after minimally invasive digestive endoscopic surgeries, and patients have a high demand for postoperative analgesics. Clinicians need to improve the awareness of analgesia and optimize the analgesia program.

Key words: Digestive endoscopic surgery, Postoperative pain, Pain assessment, Adverse reactions

CLC Number: 

  • R614
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