【摘要】 目的：分析加速康复外科(ERAS)理念下的疼痛管理对乳腺癌Ⅰ期乳房重建患者术后疼痛的影响。方法：选取2020年1—12月广西医科大学第一附属医院收治的30例乳腺癌患者作为观察组，2018年1—12月收治的30例乳腺癌患者作为对照组。对照组按传统理念进行围术期疼痛管理，观察组实施基于ERAS理念的疼痛管理。对比两组各时段疼痛评分、术后慢性疼痛发生率及发作频率。结果：观察组术后清醒时疼痛评分，术后24、48 h最低分和最高分，术后72 h最高分均低于对照组，差异有统计学意义(P<0.05)。术后6个月、1年，观察组疼痛发生率均低于对照组，差异有统计学意义(P<0.05)。术后6个月，观察组偶尔发作占比高于对照组，经常发作占比低于对照组，差异有统计学意义(P=0.001)。结论：采用ERAS理念对乳腺癌Ⅰ期乳房重建术患者进行疼痛管理、效果显著，可改善患者疼痛症状，降低术后1年内慢性疼痛的发生率及发作频率。更多还原

【Abstract】 Objective:To analyze the effects of pain management under enhanced recovery after surgery (ERAS) concept on the pain after breast reconstruction in patients with stage Ⅰ breast cancer.Methods:A total of 30 patients with breast cancer admitted to the First Affiliated Hospital of Guangxi Medical University from January 2020 to December 2020 were selected as the observation group.Thirty patients with breast cancer admitted from January 2018 to December 2018 were selected as the control group.The control group received perioperative pain management according to the traditional concept.The observation group received pain management based on the ERAS concept.The pain scores at different time points,postoperative chronic pain incidence and frequency were compared between the two groups.Results:The postoperative pain scores during awakening,the lowest and highest scores at 24 h and 48 h after surgery,and the highest score at 72 h after surgery in the observation group were lower than those in the control group,with statistically significant difference (P<0.05).At 6 months and 1 year after surgery,the incidence of pain in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).At 6 months after surgery,the proportion of occasional episodes in the observation group was higher than that in the control group,and the proportion of frequent episodes in the observation group was lower than that in the control group,and the difference was statistically significant (P=0.001).Conclusion:The application of ERAS concept in pain management of stage Ⅰ breast cancer patients undergoing breast reconstruction has a significant effect,which can improve the pain symptoms of patients and reduce the incidence and frequency of chronic pain in 1 year after surgery.更多还原