Influencing factors and management effects analysis of pain for patients with upper limp fracture

Abstract

Objective To select NRS to record and analyze influencing factors and management effects of pain for patients with upper limp fracture.Methods Totals of 164 patients with upper limp fracture had been chosen from February 2012 to February 2013, and all of them received PCIA combining with transfused flurbiprofen to relieve pain.We analyzed influencing factors of pain by Logistic regression analysis and recorded the maximum of pain score assessed by NRS at 24 h and 48 h after trauma and compared the pain score during break at 24 h, 48 h and 72 h after operation.Results The gender, age, length of fracture, position of fracture and fracture of AO type brought out different level of pain and those of pain had statistical difference （ P 〈0.05）.The gender （female）, age （beyond 60 years old）, position of fracture （proximal humerus fracture） and fracture of C type were severe risks to cause pain （P 〈0.05）.The pain scores of proximal humerus fracture, distal end of humerusfracture, radial fracture and ulnar fracture,which assessed by NRS, had statistical difference at 24 h and 48 h after fracture （F=81.756,84.288, respectively;P〈0.05）, while different position of fracture had high pain score at 24 h than 48 h （t=4.720,5.703,5.888, respectively;P〈0.05）.Under analgesia after operation at 24 h,48 h and 72 h, female patients had more effective pain control result than males （t=2.857,P〈0.05）.After 72hrs operation, there were ninety two cases satisfaction, fifty nine cases certain satisfaction and thirteen cases dissatisfaction for the result of pain control.Conclusions Because different gender, age, position of fracture and fracture type result in different level of pain, medical staff should provide reasonable pain management for fracture patient in order to enhance patient’ s satisfactory. Key words: Upper limp fracture; Pain; Influencing factors; Pain management