주요 정형외과 수술 후 발생하는 통증 정도의 비교

초록

Purpose: To evaluate and compare the degree of acute pain after major orthopaedic surgeries. Materials and Methods: The study was conducted on 87 patients treated from November 2013 to January 2014. The patients were divided into four groups; Spinal fusion (20 patients), arthroscopic rotator cuff repair (20 patients), hip arthoplasty (20 patients) and total knee arthroplasty (27 patients). Visual analogue scale was used to measure the degree of acute pain, satisfaction with pain control, and sleep quality. Results: The mean pain VAS score of the first day was highest in spinal fusion group. Spinal fusion showed statistically significantly lower satisfaction with pain control during whole period of evaluation. Sleep quality was significantly lower in spinal fusion group on second, third, sixth postoperative day compared to shoulder arthroscopy group and first to third postoperative day compared to total knee arthroplasty group (P<0.05). Conclusion: Spinal fusion was the most painful surgery in acute postoperative period than other major orthpaedic surgeries. The degree of satisfaction with pain control and sleep quality showed similar pattern. Multimodal pain management strategies should be adopted for different major orthopaedic surgeries.

키워드