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目的研究乳腺癌术后慢性疼痛的流行病学特征并对相关影响因素进行分析。方法选取军事医学科学院附属医院乳腺外科912例乳腺癌术后患者进行随访,使用DN-4量表评估神经病理性疼痛的发生率,并对相关影响因素进行统计学分析。结果实际随访821例患者,其中263例(32.0%)患者出现慢性疼痛,47例(17.9%)DN-4评分>4分,考虑神经病理性疼痛。疼痛组与非疼痛组在手术方式及腋窝淋巴结清扫方面有统计学差异(P<0.05)。结论乳腺癌术后慢性疼痛的发生率较高。在行乳腺癌手术时,选择合适且创伤相对较小的术式,以及做好患者的心理保健,对预防乳腺癌术后慢性疼痛具有一定临床意义。
Objective To study the epidemiological characteristics of postoperative chronic pain in breast cancer and to analyze the related factors. Methods Nine hundred and twelve postoperative breast cancer patients at the Department of Breast Surgery, Affiliated Hospital of Academy of Military Medical Sciences were followed up. The incidence of neuropathic pain was assessed by using the DN-4 scale, and the related factors were statistically analyzed. Results Totally 821 patients were followed up, of whom 263 (32.0%) had chronic pain and 47 (17.9%) had a DN-4 score> 4, considering neuropathic pain. There was a significant difference in the operation mode and axillary lymph node dissection between the pain group and the non-pain group (P <0.05). Conclusion The incidence of postoperative chronic pain in breast cancer is high. In breast cancer surgery, the choice of appropriate and trauma surgery is relatively small, and good psychological care of patients with breast cancer prevention of postoperative chronic pain has some clinical significance.