组织工程与重建外科杂志2024，Vol.20Issue(1)：104-110,7.DOI:10.3969/j.issn.1673-0364.2024.01.011
乳房整形美容术后早期疼痛的临床特征研究
Clinical characteristics of early pain after breast plastic surgery
摘要
Abstract
Objective To investigate the clinical characteristics of pain in the early stage after three types of breast plastic surgery,and to provide basis for optimizing the pain management plan.Methods From November 2021 to August 2022,72 patients who underwent breast augmentation,mammaplasty and breast suspension were included.The pain level(digital pain score,revised facial expression pain assessment method),site,concomitant symptoms and medication were collected on the 1st,2nd and 3rd day after surgery,and the clinical characteristics of pain were analyzed.Results The pain level showed a downward trend 1-3 days after operation.Patients who underwent breast augmentation had the highest pain levels,and sustained moderate pain levels.The pain sites were mainly under the armpit(68.60%)and above the breast(49%).The pain sites after breast reduction surgery and breast suspension surgery were mainly at the lower edge of the breast(33.30%),areola(33.30%),and lateral breast(26.70%).The incidence of bilateral breast pain in partial locations was inconsistent.Most patients had no other symptoms.58.33% of patients used one drug for analgesia on the first day after operation,37.5%of patients used two or more drugs for analgesia on the second day after operation,and 76.39%did not use drugs on the third day after operation.Conclusion The early pain of patients after breast augmentation deserves attention.The location of pain is mainly related to incision,drainage retention,prosthesis implantation and hematoma.When assessing pain,medical staff should pay attention to the regional characteristics of bilateral breast pain,identify the cause of pain,and detect and prevent hematoma as soon as possible.The choice of analgesics should avoid the overlapping use of drugs with the same mechanism,implement multimodal analgesia,combine non-drug intervention,and jointly manage pain and adverse drug reactions.关键词
乳房整形美容术/隆乳术/乳房缩小成形术/乳房悬吊术/疼痛Key words
Breast plastic surgery/Breast augmentation/Breast reduction/Breast mastopexy/Pain分类
医药卫生引用本文复制引用
屠轶华,杨琳,陆吟文,陆亭宇,胡佳骅..乳房整形美容术后早期疼痛的临床特征研究[J].组织工程与重建外科杂志,2024,20(1):104-110,7.基金项目
上海市科学技术委员会临床医学研究中心项目(22MC1940300). （22MC1940300）
