根据乳房手术后的疼痛水平,对日常生活活动的干扰
Kate R Pawloski1, Su Hnin1, Hannah L Kalvin2
1Breast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Surgical oncology insight
|March 2, 2026
概括
乳腺手术后的术后疼痛显著干扰日常活动,特别是对于那些中度至严重疼痛的人来说. 然而,大多数患者经历了早期的功能恢复,乳房切除术后的阿片类药物使用仍然很低.
科学领域:
- 在瘤学瘤学.
- 手术 手术 手术 术 术
- 疼痛管理 疼痛管理
背景情况:
- 术后疼痛与乳腺手术后日常活动的干扰仍然不清楚.
- 这项研究评估了疼痛对日常生活活动 (ADLs) 和止痛药的使用的影响,这些疼痛是在用哨兵淋巴结活检 (lump-SLNB) 和乳腺切除术进行的淋巴切除术后产生的.
研究的目的:
- 评估术后疼痛严重程度对乳腺手术后功能干扰的影响.
- 评估止痛药的使用,特别是阿片类药物,与疼痛和功能干扰有关.
主要方法:
- 在2019-2020年间接受结块SLNB或乳腺切除术的患者的回顾性分析.
- 根据最高报告的疼痛评分,将疼痛分类为没有/轻度和中度/严重的组.
- 使用在术后几天 (POD) 的标准化尺度对功能干扰的评估.
主要成果:
- 41%的结块SLNB患者和70%的乳腺切除患者报告中度/严重疼痛.
- 中度/重度疼痛的患者报告了显著更高的功能干扰 (p < 0.001).
- 在随后的术后几天,功能干扰下降;乳房切除术后的阿片类药物使用量很低 (中位数为2片).
结论:
- 中度/重度的术后疼痛增加了乳腺手术后的功能干扰.
- 乳房切除术后的阿片类药物消费量很低,即使在患有明显疼痛和干扰的患者中也是如此.
- 这些发现支持了无阿片类药物恢复途径的可行性,并为患者的期望提供了信息.
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