透明质酸注射美容治疗疼痛的横断面研究  

A cross-sectional study on the pain caused by hyaluronic acid cosmetic injections

作　　者：史礼帅 齐莉莉 张军[1] 王涛[1] 王国宝 周峰 巩伦礼 高秋妮 晏晓青 范萌 崔海燕 Shi Lishuai;Qi Lili;Zhang Jun;Wang Tao;Wang Guobao;Zhou Feng;Gong Lunli;Gao Qiuni;Yan Xiaoqing;Fan Meng;Cui Haiyan(Department of Plastic Surgery,Tongji Hospital of Tongji University,Shanghai 200065,China;Xigong Cosmetics Clinic,Beijing 100032,China;Q-Med International Trading(Shanghai)CO.,LTD,Shanghai 200021,China)

机构地区：[1]同济大学附属同济医院整形美容外科,上海200065 [2]北京西宫医疗美容诊所,北京100032 [3]科医国际贸易(上海)有限公司,上海200021

出　　处：《中华整形外科杂志》2024年第4期428-435,共8页Chinese Journal of Plastic Surgery

基　　金：同济大学附属同济医院伦理委员会批准(K-W-2023-009)。

摘　　要：目的了解医生在进行透明质酸注射时解决注射疼痛的观念和常用方法,为注射疼痛管理的进一步规范化提供可供参考的数据。方法该研究为横断面研究,采用方便抽样方法向公立医院整形外科或医学美容私立机构从事美容注射的医生及有透明质酸注射经历的患者发放问卷,收集其对透明质酸注射相关疼痛观点的数据。医生问卷于2022年6月15日至7月20日线下收集,共17个问题,题目类型包含单选题、多选题及问答题;患者问卷于2022年11月14日至12月6日通过问卷星平台收集,共6个问题,题目类型包含单选题和多选题。相关数据使用SPSS 22.0软件进行描述性统计分析,数据呈现形式为频数及百分比(%)。结果收集医生问卷62份,患者问卷123份。42名(67.74%)医生从日常工作中观察到超过50%的患者非常在意注射时疼痛;101例(82.11%)患者在注射透明质酸前,对即将到来的疼痛在意程度≥5分(满分10分)。治疗时,48名(77.42%)医生建议患者选择含利多卡因的透明质酸填充剂,原因包括注射疼痛可显著减轻(53名,85.48%)及患者治疗体验舒适(59名,95.16%)。60例(48.78%)患者注射时愿意选择含麻透明质酸,但含麻透明质酸的价格会影响患者的选择(55例,44.72%)。结论透明质酸注射美容治疗的疼痛是医生与患者都重视的问题。含利多卡因透明质酸以其镇痛效果明显、安全性高的特点受到医生与患者的认可。注射美容治疗的疼痛目前还没有完善的解决方案,可能需要多学科协作解决。ObjectiveTo learn about physicians’concepts and commonly employed method in hyaluronic acid injection and provide reference data for the standardization of pain management.MethodsThis study was a cross-sectional study.Convenient sampling method was used to distribute questionnaires to cosmetic injectors from plastic surgery department of public hospitals or medical beauty institutions and patients experienced with hyaluronic acid injections to collect data on their views of pain associated with hyaluronic acid injections.The physician portion was collected offline from June 15 to July 20,2022,and the patient portion was collected from November 14 to December 6,2022,via the Questionnaire Star platform.The physician questionnaire consisted of 17 questions,question types included single choice,multiple choice and essay questions.The patient questionnaire consisted of 6 questions,question types included single choice and multiple choice.Relevant data were analyzed using SPSS 22.0 software for descriptive statistics,and data were presented in the form of cases(%).ResultsSixty-two physician questionnaires and 123 patient questionnaires were collected.42(67.74%)physicians observed from their daily practice that more than 50%of their patients were very concerned about pain during injection;101(82.11%)patients scored≥5 out of 10 for concern about impending pain prior to hyaluronic acid filler injection.At the time of treatment,48(77.42%)physicians advised patients to choose a lidocaine-containing hyaluronic acid filler for reasons including a significant reduction in injection pain(53 cases,85.48%)and patient comfort with the treatment experience(59 cases,95.16%).60(48.78%)patients were willing to choose an anesthesia-containing product at the time of injection,but the price of the anesthesia-containing product influenced the patient’s choice(55 cases,44.72%).ConclusionPain from cosmetic injectable treatments is an important issue to both physicians and patients.Lidocaine-containing hyaluronic acid is recognized by

关 键 词：透明质酸 注射 疼痛 美容治疗 利多卡因 

分 类 号：R62[医药卫生—整形外科]