皮瓣引流护理技术在乳腺癌术后皮下积液护理中的应用

发布时间：2018-04-13 16:07

本文选题：皮瓣引流护理技术 + 乳腺癌　；参考：《实用医学杂志》2017年19期

【摘要】：目的探讨皮瓣引流护理技术在乳腺癌术后皮下积液护理中的应用研究效果。方法选取行单侧乳腺癌改良根治术患者180例,遵循自愿入组的原则,按手术先后随机分为对照组和观察组,每组各90例,对照组实施常规护理模式;观察组在常规护理的基础上联合应用了单手起床操、患肢制动专用袖套、皮瓣固定包扎改良法、负压最优组合方案等方式。结果本组180例患者中,对比术后带管期间引流总量及带管时间,观察组少于对照组(P0.05);术后第1天至拔管期间疼痛评分进行比较对照组明显高于观察组(P0.05);患者的满意度比较观察组高于对照组(P0.05);拔管后皮下积液的发生率对照组高于观察组(P0.05)。结论针对乳腺癌术后皮下积液的特点,实施皮瓣引流护理技术,形成综合护理干预措施,减少了皮下积液的发生,促进了患者康复。
[Abstract]:Objective to explore the effect of skin flap drainage nursing technique in nursing of postoperative subcutaneous effusion of breast cancer.Methods 180 patients with unilateral breast cancer undergoing modified radical mastectomy were randomly divided into control group (n = 90) and observation group (n = 90) according to the principle of voluntary admission.On the basis of routine nursing, the observation group used single hand wakeup exercise, special cuff for immobilization of affected limbs, improved method of flap fixation and bandaging, optimal combination of negative pressure and so on.Results the total amount of drainage and the time of drainage during the operation were compared among 180 patients.The observation group was less than the control group (P 0.05), the pain score of the control group was significantly higher than that of the observation group during the first day of extubation, the patients' satisfaction was higher than that of the control group (P 0.05), and the incidence of subcutaneous effusion after extubation in the control group was higher than that in the observation group (P 0.05).Conclusion according to the characteristics of postoperative subcutaneous effusion of breast cancer, the nursing technique of skin flap drainage is carried out, and comprehensive nursing intervention is formed, which can reduce the occurrence of subcutaneous effusion and promote the recovery of patients.
【作者单位】：南京医科大学第一附属医院普外乳腺病科;
【基金】：国家自然科学基金(编号:81572607)
【分类号】：R473.73

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