乳腺癌根治术后负压引流现状及影响因素的临床研究

发布时间：2017-12-28 21:38

本文关键词：乳腺癌根治术后负压引流现状及影响因素的临床研究　出处：《上海交通大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:本研究拟通过临床观察等方法,描述乳腺癌根治术后患者负压引流现状,探讨患者术后负压引流的有效性及持续性;寻找影响乳腺癌根治术后负压引流的相关因素。从而得到现阶段乳腺癌根治术后负压引流的现状,明确影响负压引流的相关因素,以期达到为临床乳腺癌根治术后负压引流管理提供参考的目的。方法:收集2013年8月至2014年5月于某三级甲等综合医院乳腺外科住院并行乳腺癌根治术治疗的144例病例,观察并记录患者术后14日内一次性负压引流器是否为有效状态,收集患者一般临床资料、术后每24小时引流量、术后引流时间及术后拔管前总引流量等信息。描述乳腺癌根治术后负压引流现状,分析各相关因素对术后引流量的影响。结果:1.术后前3天每日负压引流无效率均较术后第4天负压引流无效率有显著统计学差异,术后第4天与第5天之间的负压引流无效率、术后第5天与第6天之间的负压引流无效率有统计学差异。2.术后天数"g6天的负压引流无效率均较前一日负压引流无效率无统计学差异。3.年龄及体质指数(BMI)是术后引流的影响因素;术前血清白蛋白数值及引流管置管时间是术后引流的显著影响因素。4.患者合并糖尿病或高血压对术后引流无统计学意义。结论:1.乳腺癌根治术后要加强负压引流的观察,术后前5天的引流情况需要关注,术后前3天的引流情况尤为值得注意。2.评估患者引流量及引流情况时,需要纳入年龄、BMI、血清白蛋白、引流管置管时间的影响。
[Abstract]:Objective: to describe the current status of negative pressure drainage after radical mastectomy for breast cancer, and to explore the efficacy and continuity of negative pressure drainage after operation, and find out the related factors that affect negative pressure drainage after radical mastectomy. In order to get the current situation of negative pressure drainage after radical mastectomy, we should clarify the related factors of negative pressure drainage, so as to provide reference for the management of negative pressure drainage after radical mastectomy. Methods: from August 2013 to May 2014 in a hospital grade three general hospital breast surgery 144 cases concurrent radical mastectomy for breast cancer, were observed and recorded after 14 days of disposable negative pressure drainage device whether it is valid, general clinical data, were collected every 24 hours after the operation of drainage, postoperative drainage time and postoperative extubation before drainage and other information. To describe the current situation of negative pressure drainage after radical mastectomy, and to analyze the effect of the related factors on the postoperative flow rate. Results: 1.. The negative rate of negative pressure drainage on the first 3 days after operation was significantly different from that of fourth days after operation. The negative pressure drainage between fourth days and fifth days after operation was ineffective, and the negative pressure drainage rate between fifth days and sixth days after operation was statistically different. After 2. days, the null rate of negative pressure drainage in G6 days was no significant difference compared with that of negative pressure drainage in the previous day. The 3. age and the body mass index (BMI) were the factors affecting the postoperative drainage, and the preoperative serum albumin and the drainage tube time were the significant factors for postoperative drainage. 4. patients with diabetes or hypertension had no statistical significance for postoperative drainage. Conclusion: 1.. We should strengthen the observation of negative pressure drainage after radical mastectomy. The drainage should pay attention to the first 5 days after operation. The drainage on the first 3 days after operation should be paid attention to. 2. the effect of age, BMI, serum albumin and drainage tube time should be included in assessing the flow and drainage of patients.
【学位授予单位】：上海交通大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.73

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