摘要
目的:探讨乳腺癌术后患者发生疼痛综合征(PMPS)的影响因素。方法:选取2022年3月至2024年3月于该院择期行手术治疗的72例乳腺癌患者进行横断面研究,根据术后是否发生PMPS将其分为PMPS组和非PMPS组。收集患者基线资料,采用Logistic回归分析乳腺癌术后患者发生PMPS的影响因素。结果:72例乳腺癌术后患者中,15例发生PMPS,发生率为20.83%;两组年龄、慢性疼痛史、术后放疗、肿瘤位置、腋窝淋巴结清扫、术前有无焦虑比较,差异均有统计学意义(P<0.05);两组手术方式、体质量指数、合并基础疾病、临床分期、术前使用非甾体抗炎药比较,差异均无统计学意义(P>0.05);Logistic回归分析结果显示,年龄<50岁、有慢性疼痛史、术后放疗、肿瘤位于上象限、腋窝淋巴结清扫、术前焦虑均为乳腺癌术后患者发生PMPS的危险因素(OR>1,P<0.05)。结论:年龄<50岁、有慢性疼痛史、术后放疗、肿瘤位于上象限、腋窝淋巴结清扫、术前焦虑均为乳腺癌术后患者发生PMPS的危险因素。
Objective:To investigate influencing factors of postoperative pain syndrome(PMPS)in patients with breast cancer.Methods:A cross-sectional study was conducted on 72 patients with breast cancer who underwent elective surgery in the hospital from March 2022 to March 2024.According to whether PMPS occurred after surgery,they were divided into PMPS group and non-PMPS group.The baseline data of these patients were collected.Logistic regression was used to analyze the influencing factors of PMPS in the patients after breast cancer surgery.Results:Among the 72 patients with breast cancer after surgery,15 patients had PMPS,with an incidence of 20.83%.There were statistically significant differences in age,history of chronic pain,postoperative radiotherapy,tumor location,axillary lymph node dissection,and preoperative anxiety between the two groups(P<0.05).There were no significant differences in surgical methods,body mass index,underlying diseases,clinical stage,and preoperative use of non-steroidal anti-inflammatory drugs between the two groups(P>0.05).Logistic regression analysis showed that age<50 years old,chronic pain history,postoperative radiotherapy,tumor in the upper quadrant,axillary lymph node dissection,preoperative anxiety were all risk factors for PMPS in the postoperative patients with breast cancer(OR>1,P<0.05).Conclusions:Age<50 years old,history of chronic pain,postoperative radiotherapy,tumor located in the upper quadrant,axillary lymph node dissection and preoperative anxiety are the risk factors for PMPS in the postoperative patients with breast cancer.
作者
王相平
WANG Xiangping(Department of Thyroid and Breast Surgery of Xihua County People’s Hospital,Zhoukou 466600 Henan,China)
出处
《中国民康医学》
2025年第14期12-14,18,共4页
Medical Journal of Chinese People’s Health
关键词
乳腺癌
术后
疼痛综合征
影响因素
Breast cancer
Postoperative
Pain syndrome
Influencing factor
作者简介
王相平(1980.08-),女,汉族,河南周口人,本科,主治医师,研究方向为乳腺纤维瘤、乳腺癌等疾病的诊治。
