鼻整形术对受术者体像影响的研究  

Study on influence of rhinoplasty on accepter′s body image

作　　者：尹康 高伟成[2] 吴国平[2] 夏德林 赵利平[3] 

机构地区：[1]西南医科大学附属医院外科,四川泸州646000 [2]南京医科大学附属友谊整形外科医院,南京210029 [3]济宁医学院附属医院烧伤整形科,山东济宁272029

出　　处：《重庆医学》2017年第12期1629-1631,共3页Chongqing medicine

摘　　要：目的分析鼻整形术对整形美容受术者体像影响,探讨术后患者体像障碍(BDD)的变化,分析术前BDD影响因素,为受术者心理健康管理提供依据及整形美容诊疗提供参考。方法前瞻性分析2015年1月至2016年3月南京医科大学附属友谊整形外科医院收治的鼻整形术患者84例,调查患者一般资料,并且采用美容心理状态自评量表评价患者的体像情况,术后第1~3个月复评。结果术前非BDD占60.71%,BDD发生率19.05%,其他与BDD无关的心理障碍、精神或神经系统疾病占20.24%;术后BDD发生率显著低于术前(P<0.05),并且非BDD患者术后无BDD发生。术前,BDD者1~10题评分均高于非BDD组;术后,非BDD者第1~4题评分降低,BDD者第1~4、6~10题评分下降,BDD者第1、7、9~10题评分高于非BDD者(P<0.05)。术前BDD者隆鼻术、有整形史者比重高于非BDD者,差异有统计学意义(P<0.05)。结论鼻整形患者术前BDD发生率较高,手术有助于减轻患者BDD,而且手术本身不会带来新的体像障碍。Objective To analyze the effect of the rhinoplasty on body image in the patients receiving cosmetic surgery,to investigate the change of postoperative body image disturbance（BDD）and to analyze the influencing factors of preoperative BDD in order to provide a basis for the psychological health management and reference for the diagnosis and treatment of plastic surgery.Methods A prospective study was performed on 84 patients with rhinoplasty admitted to the Affiliated Friendship Aesthetic Plastic Surgery Hospital of Nanjing Medical University from January 2015 to March 2016.The general data were investigated.The Plastic Psychological State Self-rating Scale was adopted to evaluate the patient′s body image situation,which was reexamined at postoperative 1-3months.Results The preoperative non-BDD accounted for 60.71%,the occurrence rate of BDD was 19.05%,the other mental disorders,mental diseases or nervous system disease which had no relation with the BDD accounted for 20.24%;the occurrence rate of postoperative BDD was significantly lower than that of preoperative BDD（P〈0.05）,moreover the patients with non-BDD had no postoperative BDD occurrence.The scores of question 1-10 before operation in the BDD group were higher than those in the non-BDD group,the scores of question 1-4after operation in the non-BDD group were decreased,the scores of question 1-4,6-10 in the BDD group were decreased,while the scores of question 1,7,9-10 in the BDD group were higher than those in the non-BDD group（P〈0.05）.The proportion of preoperative rhinoplasty and plastic surgery in the BDD group was higher than that in the non-BDD group,the difference was statistically significant（P〈0.05）.Conclusion The occurrence rate of BDD in the patients with rhinoplasty is higher,operation is conducive to lessen the BDD,moreover operation itself will not result in new BDD.

关 键 词：鼻整形术 整形美容 体像 

分 类 号：R62[医药卫生—整形外科] R765.9[医药卫生—外科学]