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| Application of perioperative multidisciplinary pain management combined with psychological intervention in modified radical mastectomy |
| SHU Hua LIANG Zheng HUANG Da-xue LI Jing WANG Dan |
| Department of Anesthesiology, the Second People′s Hospital of Neijiang, Sichuan Province, Neijiang 641000, China |
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Abstract Objective To investigate the application and clinical effect of perioperative multidisciplinary pain management combined with psychological intervention in modified radical mastectomy.Methods A total of 180 cases of breast cancer patients in the Second People′s Hospital of Neijiang from June 2017 to December 2018 were selected and divided into group A, group B and group C according to random number table method, 60 cases in each group.All patients were given general anesthesia through tracheal in tubation.Group A was given postoperative patient controlled intravenous analgesia (PCIA), group B was given nerve block combined postoperative PCIA, and group C was given psychological intervention combined nerve block and postoperative PCIA.The postoperative analgesia time was 48 h.Visual analogue score (VAS), PCIA pressing times and dosage of postoperative nonsteroidal analgesic of the three groups were observed at the first and third day after operation, Zung depression (SDS) and anxiety scale (SAS) were used to evaluate the psychological status of the three groups before operation and at the first and third day after operation, and the recent complications and hospital stay were observed among the three groups.Results There was no significant difference in preoperative VAS score among the three groups (P＞0.05).The VAS scores at the first and third days after operation in group C were lower than those in group A and group B, the differences were significant difference (P＜0.05).Pressing time of PCIA and dosage of postoperative nonsteroidal analgesic in C group were less than those in group A and group B, the differences were significant difference (P＜0.05).There were no significant differences in preoperative SDS and SDA scores among the three groups (P＞0.05).The SDS and SDA scores at the first and third days after operation in group C were lower than those in group A and group B, the differences were significant difference (P＜0.05).The total incidence of complications in group C was lower than that in group A and group B, the differences were significant difference (P＜0.05).The hospital stay in group B and group C was shorter than that in group A, the differences were significant difference (P＜0.05).Conclusion Perioperative multidisciplinary pain management combined with psychological intervention can alleviate psychological and physiological stress response in patients with modified radical mastectomy for breast cancer, relieve psychological pressure, improve analgesic effect after operation, and promote rehabilitation after operation.
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| [1] |
张世超，陆苏，赵紫薇，等.乳腺浸润性微乳头状癌的临床病理特征及预后分析[J].中国肿瘤临床，2020，47（2）：77-81.
|
| [2] |
商江峰，王祝香.老年乳腺癌的临床病理特征及预后分析[J].实用老年医学，2020，34（2）：159-162.
|
| [3] |
蔡剑虹，唐海波，汤玲，等.乳腺癌术后患者体力活动水平、血管内皮舒张功能与生存质量的相关关系研究[J].瘤预防与治疗，2020，33（2）：164-168
|
| [4] |
周丽华，高洁，黄燕华，等.延续性护理对乳腺癌患者术后负情绪及生活质量的影响[J].广东医学，2020，41（9）：921-924.
|
| [5] |
吉晓晨.超声引导下连续胸椎旁神经阻滞对乳腺癌根治术患者疼痛及应激反应的影响[J].中国烧伤创疡杂志，2020，32（2）：120-123.
|
| [6] |
刘峥，杨基鹏，任思媛.保留乳头的乳腺癌切除术在早期乳腺癌患者中临床效果研究[J].中华普外科手术学杂志（电子版），2020，14（3）：273-276.
|
| [7] |
赵丽静，张芳，房彩丽.多学科协作模式的延续性管理对乳腺癌患者术后恢复及不良情绪的影响[J].癌症进展，2020，18（2）：852-856.
|
| [8] |
王雅俊，马会玲.舒适护理在女性乳腺癌患者术后化疗中的应用效果[J].临床医学研究与实践，2020，5（1）：187-188，195.
|
| [9] |
王晶雅.配偶支持联合自我效能理论在乳腺癌改良根治术后的应用效果[J].实用临床医学，2020，21（2）：84-86.
|
| [10] |
孟慧芳，杜增利.超声引导下胸神经阻滞和连续胸椎旁神经阻滞对乳腺癌术后患者恢复的影响[J].实用医药杂志，2020，37（4）：307-311.
|
| [11] |
李晶.心理护理对改善危重乳腺癌患者负面情绪及护理满意度的研究[J].实用临床护理学电子杂志，2020，5（11）：90.
|
| [12] |
吉晓晨，崔文斌，张博雅.胸椎旁神经阻滞联合全身麻醉对乳腺癌手术患者术后慢性疼痛的影响分析[J].现代诊断与治疗，2019，30（21）：3829-3831.
|
| [13] |
赵赢，邵安民，冯树全，等.超声引导下胸壁神经阻滞与胸椎旁神经阻滞用于乳腺癌改良根治术的镇痛效果[J].临床麻醉学杂志，2020，36（1）：58-62.
|
| [14] |
刘顺秀.综合心理护理对乳腺癌患者术前焦虑的缓解作用价值[J].中西医结合心血管病电子杂志，2020，8（8）：13.
|
| [15] |
李玲.120例年轻乳腺癌改良根治术后心理弹性现状调查及相关影响因素分析[J].云南医药，2020，41（2）：193-195.
|
|
|
|
