目的 了解医生在进行透明质酸注射时解决注射疼痛的观念和常用方法，为注射疼痛管理的进一步规范化提供可供参考的数据。 方法 本研究为横断面研究，采用方便抽样方法向美容注射医生及有透明质酸注射经验的患者发放问卷以收集其对透明质酸注射相关疼痛观点的数据。医生部分于2022年6月15日至7月20日线下收集，共17个问题，题目类型包含单选题、多选题及问答题；患者部分于2022年11月14日至12月6日通过问卷星平台收集，共6个问题，题目类型包含单选题和多选题。相关数据使用SPSS 22.0软件进行描述性统计分析，数据呈现形式为人数及百分比（%）。 结果 收集医生问卷62份，患者问卷123份。42名（67.74%）医生从日常工作中观察到超过50%的患者非常在意注射时疼痛；101名（82.11%）患者在注射透明质酸前，对即将到来的疼痛在意程度≥5分（满分10分）。治疗时，48名（77.42%）医生建议患者选择含利多卡因的透明质酸填充剂，原因包括注射疼痛可显著减轻（53名，85.48%）及患者治疗体验舒适（59名，95.16%）。60例（48.78%）患者注射时愿意选择含麻透明质酸，但含麻透明质酸的价格会影响患者的选择（55名，44.72%）。 结论 透明质酸注射美容治疗的疼痛是医生与患者都重视的问题。含利多卡因透明质酸以其镇痛效果明显、安全性高的特点受到医生与患者的认可。注射美容治疗的疼痛目前还没有完善的解决方案，可能需要多学科协作解决。 Objective To learn about physicians’ concepts and commonly employed method in hyaluronic acid injection and provide reference data for the standardization of pain management. Methods This study was a cross-sectional study. Convenient sampling method was used to distribute questionnaires to cosmetic injectors and patients experienced with hyaluronic acid injections to collect data on their views of pain associated with hyaluronic acid injections. The physician portion was collected offline from June 15 to July 20, 2022, and the patient portion was collected from November 14, 2022, to December 6, 2022, via the Questionnaire Star platform. The physician questionnaire consisted of 17 questions, question types included single choice, multiple choice and essay questions. The patient questionnaire consisted of 6 questions, question types included single choice and multiple choice. Relevant data were analyzed using SPSS 22.0 software for descriptive statistics, and data were presented in the form of cases and percentages (%). Results Sixty-two physician questionnaires and 123 patient questionnaires were collected. 42 (67.74%) physicians observed from their daily practice that more than 50% of their patients were very concerned about pain during injection 101 (82.11%) patients scored ≥5 out of 10 for concern about impending pain prior to hyaluronic acid filler injection. At the time of treatment, 48 (77.42%) physicians advised patients to choose a lidocaine-containing hyaluronic acid filler for reasons including a significant reduction in injection pain (53 cases, 85.48%) and patient comfort with the treatment experience (59 cases, 95.16%). 60 (48.78%) patients were willing to choose an anesthesia-containing product at the time of injection, but the price of the anesthesia-containing product influenced the patient’ s choice (55 cases 44.72%) . Conclusions Pain from cosmetic injectable treatments is an important issue to both physicians and patients. Lidocaine-containing hyaluronic acid is recognized by physicians and patients for its analgesic effect and high safety profile. There is no perfect solution for pain in cosmetic injection treatment, and multidisciplinary collaboration may be needed to solve the problem.
Abstract
Objective To learn about physicians’ concepts and commonly employed method in hyaluronic acid injection and provide reference data for the standardization of pain management. Methods This study was a cross-sectional study. Convenient sampling method was used to distribute questionnaires to cosmetic injectors and patients experienced with hyaluronic acid injections to collect data on their views of pain associated with hyaluronic acid injections. The physician portion was collected offline from June 15 to July 20, 2022, and the patient portion was collected from November 14, 2022, to December 6, 2022, via the Questionnaire Star platform. The physician questionnaire consisted of 17 questions, question types included single choice, multiple choice and essay questions. The patient questionnaire consisted of 6 questions, question types included single choice and multiple choice. Relevant data were analyzed using SPSS 22.0 software for descriptive statistics, and data were presented in the form of cases and percentages (%). Results Sixty-two physician questionnaires and 123 patient questionnaires were collected. 42 (67.74%) physicians observed from their daily practice that more than 50% of their patients were very concerned about pain during injection 101 (82.11%) patients scored ≥5 out of 10 for concern about impending pain prior to hyaluronic acid filler injection. At the time of treatment, 48 (77.42%) physicians advised patients to choose a lidocaine-containing hyaluronic acid filler for reasons including a significant reduction in injection pain (53 cases, 85.48%) and patient comfort with the treatment experience (59 cases, 95.16%). 60 (48.78%) patients were willing to choose an anesthesia-containing product at the time of injection, but the price of the anesthesia-containing product influenced the patient’ s choice (55 cases 44.72%) . Conclusions Pain from cosmetic injectable treatments is an important issue to both physicians and patients. Lidocaine-containing hyaluronic acid is recognized by physicians and patients for its analgesic effect and high safety profile. There is no perfect solution for pain in cosmetic injection treatment, and multidisciplinary collaboration may be needed to solve the problem.
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