影响乳腺癌患者外科治疗后乳腺癌手术相关疼痛的因素研究  

Factors of affecting the postoperative pain in patients with breast cancer after surgical treatment

作　　者：章宏欣[1] 徐赢[1] 张洁慧[1] 张浩永[1] 

机构地区：[1]新昌县人民医院肿瘤外科,浙江新昌312500

出　　处：《全科医学临床与教育》2016年第1期28-30,34,共4页Clinical Education of General Practice

摘　　要：目的探讨乳腺癌患者外科治疗后疼痛的影响因素。方法选取接受外科治疗的乳腺癌患者120例,依据乳腺癌术后疼痛综合征（PMPS）发生情况分为PMPS组和非PMPS组,对两组患者的临床资料进行单因素分析和多因素logistic回归分析。结果 PMPS组与非PMPS组患者的年龄、病程、分期、术前焦虑抑郁、切除肋间臂神经、腋淋巴结清扫、辅助化疗、术后出血或积液、合并其他疼痛综合征差异有统计学意义（χ^2分别=5.78、7.01、4.39、5.20、6.11、4.58、9.10、3.90,P均〈0.05）。术前焦虑抑郁、切除肋间臂神经、腋淋巴结清扫、术后出血或积液是影响乳腺癌患者外科治疗后疼痛的独立危险因素（OR分别=1.73、2.18、0.34、2.19,P均〈0.05）。结论术前焦虑抑郁、切除肋间臂神经、腋淋巴结清扫、术后出血或积液是乳腺癌患者外科治疗后疼痛的独立影响因素。Objective To investigate the influence factors of postoperative pain in patients with breast cancer after surgical treatment. Methods A total of 120 patients with breast cancer who underwent surgical treatment were selected and di-vided into PMPS group and non PMPS group according to whether the occurrence of post-mastectomy pain syndrome（PMPS）. The clinical data of two groups were analyzed by single factor analysis and logistic regression analysis. Results The age, disease duration, staging, preoperative anxiety and depression, removal of the intercostal brachial nerve, axillary lymph node dissection, adjuvant chemotherapy, postoperative hemorrhage or effusion, combined with other pain syndrome of PMPS group and non-PMPS were significantly different（χ^2=5.78, 7.01, 4.39, 5.20, 6.11, 4.58, 9.10, 3.90,P〈0.05）.Preoperative anxiety and depression, removal of the intercostal brachial nerve, axillary lymph node dissection, postoperative hemorrhage or effusion were independent risk factors of postoperative pain in breast cancer patients（OR=1.73, 2.18,0.34, 2.19,P〈0.05）. Conclusions Preoperative anxiety and depression, removal of the intercostal brachial nerve, axillary lymph node dissection, postoperative hemorrhage or effusion are the independent risk factors of postoperative pain in breast cancer patients.

关 键 词：乳腺癌 疼痛 LOGISTIC回归 

分 类 号：R737.9[医药卫生—肿瘤]