Xie Zi-Ao, Zhang Kai-Li, Han Fang, Tang Meng-Yao, Chen Jue-Wei, Liu Guang-Peng
Department of Plastic and Reconstructive Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
Front Med (Lausanne). 2023 Jan 20;10:1103071. doi: 10.3389/fmed.2023.1103071. eCollection 2023.
Vasovagal reactions are common amongst patients with a fear of needles receiving injections or during venipuncture, but they are rarely studied in healthy people undergoing earlobe piercing. The purpose of this prospective study was to evaluate the incidence and the features of vasovagal reactions observed during earlobe piercing.
Thousand eight hundred and sixty six participants aged older than 13 years had their earlobes pierced in our department from January 2020 to January 2022. When vasovagal reactions occurred during the procedure (e.g., dizziness, pallor, diaphoresis, and faintness, etc.), they were recorded and more detailed demographic information was collected.
A total of 196 cases of vasovagal reactions were reported in females amongst 1,866 participants, including 58 who actually lost consciousness during earlobe piercing. The incidence of vasovagal reactions and vasovagal syncope was 10.5 and 3.11% respectively. All syncopal reactions occurred in persons younger than 30 years.
Vasovagal syncope is often very sudden and occurs without warning. Practitioners need to be familiar with these reactions, and prevent people from an unpredictable fall and subsequent injury during ear piercing.
血管迷走反应在害怕打针的患者接受注射或静脉穿刺时很常见，但在接受耳垂穿刺的健康人群中很少被研究。这项前瞻性研究的目的是评估耳垂穿刺过程中观察到的血管迷走反应的发生率和特征。
2020年1月至2022年1月期间，1866名年龄超过13岁的参与者在我们科室进行了耳垂穿刺。当在穿刺过程中出现血管迷走反应（如头晕、面色苍白、出汗和昏厥等）时，进行记录并收集更详细的人口统计学信息。
在1866名参与者中，女性共报告了196例血管迷走反应，其中58例在耳垂穿刺过程中实际失去意识。血管迷走反应和血管迷走性晕厥的发生率分别为10.5%和3.11%。所有晕厥反应均发生在30岁以下的人群中。
血管迷走性晕厥通常非常突然且毫无预兆地发生。从业者需要熟悉这些反应，并防止人们在穿耳洞时意外摔倒及随后受伤。
