中国美容医学
中國美容醫學
중국미용의학
Chinese Journal of Aesthetic Medicine
2015年
20期
27-29
,共3页
重睑术%疼痛%瘀青%肿胀%瘙痒%评估%术前咨询
重瞼術%疼痛%瘀青%腫脹%瘙癢%評估%術前咨詢
중검술%동통%어청%종창%소양%평고%술전자순
eyelid blepharoplasty%pain%bruise%swelling%itching%assessment%preoperative counseling
目的：本研究是用数字评价量表numeric rating scale(NRS)来调查疼痛强度以及疼痛、瘀青、肿胀、瘙痒、生活受限和视力模糊出现的高峰期和重睑术后疼痛持续时间，为患者术前咨询和教育提供客观依据。方法：局麻重睑术后，用NRS来评价患者的疼痛程度。于术后即刻、术后2～4h、术后1d、2d、3d、7d和1个月，分别评价患者的疼痛程度。同时评价疼痛、瘀青、肿胀、瘙痒、生活受限和视力模糊出现的高峰期。共120名患者（240个上睑）参与本研究。结果：重睑术后疼痛高峰期是4.7h，肿胀高峰期是16.3h，瘀青高峰期是35.6h，瘙痒高峰期是22.1h，生活受限高峰期是17.5h，视力模糊高峰期是8.9h。严重疼痛大多出现在术后即刻到术后2～4h。结论：重睑术后的疼痛大多是轻到中度疼痛，评分不会超过4分，疼痛可持续到术后7d。在这些结果基础上的疼痛评估和治疗是有效的。
目的：本研究是用數字評價量錶numeric rating scale(NRS)來調查疼痛彊度以及疼痛、瘀青、腫脹、瘙癢、生活受限和視力模糊齣現的高峰期和重瞼術後疼痛持續時間，為患者術前咨詢和教育提供客觀依據。方法：跼痳重瞼術後，用NRS來評價患者的疼痛程度。于術後即刻、術後2～4h、術後1d、2d、3d、7d和1箇月，分彆評價患者的疼痛程度。同時評價疼痛、瘀青、腫脹、瘙癢、生活受限和視力模糊齣現的高峰期。共120名患者（240箇上瞼）參與本研究。結果：重瞼術後疼痛高峰期是4.7h，腫脹高峰期是16.3h，瘀青高峰期是35.6h，瘙癢高峰期是22.1h，生活受限高峰期是17.5h，視力模糊高峰期是8.9h。嚴重疼痛大多齣現在術後即刻到術後2～4h。結論：重瞼術後的疼痛大多是輕到中度疼痛，評分不會超過4分，疼痛可持續到術後7d。在這些結果基礎上的疼痛評估和治療是有效的。
목적：본연구시용수자평개량표numeric rating scale(NRS)래조사동통강도이급동통、어청、종창、소양、생활수한화시력모호출현적고봉기화중검술후동통지속시간，위환자술전자순화교육제공객관의거。방법：국마중검술후，용NRS래평개환자적동통정도。우술후즉각、술후2～4h、술후1d、2d、3d、7d화1개월，분별평개환자적동통정도。동시평개동통、어청、종창、소양、생활수한화시력모호출현적고봉기。공120명환자（240개상검）삼여본연구。결과：중검술후동통고봉기시4.7h，종창고봉기시16.3h，어청고봉기시35.6h，소양고봉기시22.1h，생활수한고봉기시17.5h，시력모호고봉기시8.9h。엄중동통대다출현재술후즉각도술후2～4h。결론：중검술후적동통대다시경도중도동통，평분불회초과4분，동통가지속도술후7d。재저사결과기출상적동통평고화치료시유효적。
Objective This study was undertaken to investigate the pain intensity, time to peak of pain, bruise,swelling,itching,life limitation,blurred vision,and duration of pain after eyelid blepharoplasty us?ing a survey of pain scale,and to provide objective evidence to aid in education and preoperative counseling of our patients. Methods After pain assessment of the immediate postoperative period, the evaluation was repeated after 2 to 4 hours,1day,2 days,3 days,7 days,and 1 month.Time to peak of pain,bruise,swelling,itching,life limitation,and blurred vision after surgery were investigated.A total of 240 eyelids(120patients)were included. Results Time to peak after eyelid blepharoplasty was as follows:pain 4.7 hours;swelling 16.3 hours;bruise 35.6 hours;itching 22.1 hours;limitation of life 17.5 hours;and blurred vision 8.9hours.Most severe pain was observed during the immediate postopera?tive period and up to 2 to 4 hours after surgery. Conclusion Pain after eyelid blepharoplasty was mostly mild to moderate and did not exceed a score of 4,and could remain persistent for up to 7 days after surgery.Specific pain-targeted assessment and treatment based on these results are warranted.
