鼻整形术对受术者体像影响的研究

发布时间：2018-06-29 07:20

本文选题：鼻整形术 + 整形美容　；参考：《重庆医学》2017年12期

【摘要】：目的分析鼻整形术对整形美容受术者体像影响,探讨术后患者体像障碍(BDD)的变化,分析术前BDD影响因素,为受术者心理健康管理提供依据及整形美容诊疗提供参考。方法前瞻性分析2015年1月至2016年3月南京医科大学附属友谊整形外科医院收治的鼻整形术患者84例,调查患者一般资料,并且采用美容心理状态自评量表评价患者的体像情况,术后第1~3个月复评。结果术前非BDD占60.71%,BDD发生率19.05%,其他与BDD无关的心理障碍、精神或神经系统疾病占20.24%;术后BDD发生率显著低于术前(P0.05),并且非BDD患者术后无BDD发生。术前,BDD者1~10题评分均高于非BDD组;术后,非BDD者第1~4题评分降低,BDD者第1~4、6~10题评分下降,BDD者第1、7、9~10题评分高于非BDD者(P0.05)。术前BDD者隆鼻术、有整形史者比重高于非BDD者,差异有统计学意义(P0.05)。结论鼻整形患者术前BDD发生率较高,手术有助于减轻患者BDD,而且手术本身不会带来新的体像障碍。
[Abstract]:Objective to analyze the effect of rhinoplasty on the body image of patients undergoing orthopedic surgery, to explore the changes of postoperative BDD, and to analyze the influencing factors of preoperative BDD in order to provide reference for the management of mental health and the diagnosis and treatment of cosmetic surgery. Methods from January 2015 to March 2016, 84 patients with rhinoplasty admitted in the Friendship plastic surgery Hospital affiliated to Nanjing Medical University were analyzed. The general data of the patients were investigated. The evaluation was repeated 1 ~ 3 months after operation. Results the incidence of BDD was 19.05% in non-BDD patients before operation, 20.24% in mental or nervous system diseases, and no BDD occurred in non-BDD patients after operation (P0.05). The scores of pre-BDD and non-BDD were significantly higher than those of non-BDD group, and the scores of non-BDD and BDD were significantly lower than those of non-BDD and the scores of BDD and BDD were significantly higher than those of non-BDD (P0.05). The proportion of preoperative BDD patients with augmentation rhinoplasty was higher than that of non-BDD patients (P0.05). Conclusion the incidence of BDD in patients with nasal orthopedics is high before operation.
【作者单位】：西南医科大学附属医院外科;南京医科大学附属友谊整形外科医院;济宁医学院附属医院烧伤整形科;
【分类号】：R62;R765.9

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