在用三种不同的压缩进行乳房扫描时经历的疼痛
N Moshina1, S Sagstad1, Å S Holen1
1Section for Breast Cancer Screening, Cancer Registry of Norway, Oslo, Norway.
Radiography (London, England : 1995)
|July 15, 2023
概括
与固定或研究相比,灵活的压缩显著减少了乳房扫描查期间的疼痛. 这一发现表明女性的查体验更舒适,可能会提高出席率.
科学领域:
- 放射学和医学成像学 医学成像学
- 妇女健康 妇女健康
- 疼痛管理 疼痛管理
背景情况:
- 在查性乳房镜检查过程中经历的疼痛可能会对患者参加未来查的情况产生负面影响.
- 优化乳房造影期间的患者舒适度对于保持查计划的有效性至关重要.
- 不同的乳房压缩设计可能会影响经历的疼痛程度.
研究的目的:
- 为了研究和比较患者在查性乳房造影期间的疼痛经历,使用三个不同的乳房压缩.
- 为了确定哪种类型的压缩与最少的疼痛有关.
主要方法:
- 自我报告问卷使用数值评分尺度 (NRS) 评估了938名接受乳房镜检查的女性的疼痛.
- 使用了三种类型:固定,灵活和研究 (固定,标准化压力).
- 逻辑双项回归分析了与类型相关的严重疼痛 (NRS ≥7) 的相对风险,并对共变量进行调整.
主要成果:
- 柔性组报告了最低的平均疼痛评分 (2.3),明显低于固定 (2.8) 和研究 (2.8).
- 调整后的分析显示,与柔性相比,固定 (RRAdj 2.01) 和研究 (RRAdj 2.52) 的严重疼痛风险更高.
- 查前的乳房疼痛也与严重疼痛的风险增加有关 (RRAdj 1.93).
结论:
- 用灵活的压缩进行查乳房扫描的妇女经历的疼痛明显减少.
- 柔性似乎是最大限度地减少在乳房影像查期间的疼痛的最佳选择.
- 放射科医生应考虑患者的乳房敏感性,以进一步提高乳房造影期间的舒适度.
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