本文關鍵詞：乳腺癌根治術后負壓引流現(xiàn)狀及影響因素的臨床研究　出處：《上海交通大學》2015年碩士論文　論文類型：學位論文

  更多相關文章： 乳腺癌 手術 引流 影響因素

【摘要】：目的:本研究擬通過臨床觀察等方法,描述乳腺癌根治術后患者負壓引流現(xiàn)狀,探討患者術后負壓引流的有效性及持續(xù)性;尋找影響乳腺癌根治術后負壓引流的相關因素。從而得到現(xiàn)階段乳腺癌根治術后負壓引流的現(xiàn)狀,明確影響負壓引流的相關因素,以期達到為臨床乳腺癌根治術后負壓引流管理提供參考的目的。方法:收集2013年8月至2014年5月于某三級甲等綜合醫(yī)院乳腺外科住院并行乳腺癌根治術治療的144例病例,觀察并記錄患者術后14日內一次性負壓引流器是否為有效狀態(tài),收集患者一般臨床資料、術后每24小時引流量、術后引流時間及術后拔管前總引流量等信息。描述乳腺癌根治術后負壓引流現(xiàn)狀,分析各相關因素對術后引流量的影響。結果:1.術后前3天每日負壓引流無效率均較術后第4天負壓引流無效率有顯著統(tǒng)計學差異,術后第4天與第5天之間的負壓引流無效率、術后第5天與第6天之間的負壓引流無效率有統(tǒng)計學差異。2.術后天數(shù)"g6天的負壓引流無效率均較前一日負壓引流無效率無統(tǒng)計學差異。3.年齡及體質指數(shù)(BMI)是術后引流的影響因素;術前血清白蛋白數(shù)值及引流管置管時間是術后引流的顯著影響因素。4.患者合并糖尿病或高血壓對術后引流無統(tǒng)計學意義。結論:1.乳腺癌根治術后要加強負壓引流的觀察,術后前5天的引流情況需要關注,術后前3天的引流情況尤為值得注意。2.評估患者引流量及引流情況時,需要納入年齡、BMI、血清白蛋白、引流管置管時間的影響。
[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.
【學位授予單位】：上海交通大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R473.73

【參考文獻】

相關期刊論文 前10條

1 唐冰;許燕玲;匡亞輝;;高負壓引流與低負壓引流對乳腺癌術后影響的系統(tǒng)評價[J];中華現(xiàn)代護理雜志;2015年10期

2 謝玉環(huán);郭旗;劉風華;朱雅群;田野;;乳腺癌相關上肢淋巴水腫危險因素薈萃分析[J];中華放射腫瘤學雜志;2014年02期

3 王莉莉;王蓓;王開慧;潘俊;;思維導圖在乳腺癌術后并發(fā)癥護理中的應用[J];中華護理雜志;2013年01期

4 張保寧;張斌;唐中華;謝小明;楊紅健;何建軍;李卉;李佳圓;李靜;范金虎;黃蓉;宋清坤;張慧明;喬友林;;中國乳腺癌手術治療10年的發(fā)展與變遷[J];中華腫瘤雜志;2012年08期

5 董桂銀;付榮湛;;乳腺癌術后兩種引流方式的比較[J];中國實用護理雜志;2012年21期

6 張宇飛;宗遜;張茂紅;王峰;宗光全;劉仁民;徐琳;;乳腺癌術后血清腫形成的相關危險因素分析[J];中國現(xiàn)代普通外科進展;2012年01期

7 王雙群;鄧黎明;;乳腺癌改良根治術后不同引流方法預防皮下積液和皮瓣壞死的臨床效果觀察[J];實用醫(yī)院臨床雜志;2011年04期

8 吳曉紅;尹江柳;蔡文華;郭協(xié)力;;負壓吸引球預防顱骨修補術后皮下積血積液的研究[J];實用預防醫(yī)學;2010年11期

9 王梅;;早期康復鍛煉對乳腺癌術后并發(fā)癥的影響[J];中國臨床保健雜志;2010年02期

10 黃曉燕;胡雁;陸箴琦;黃嘉玲;沈坤煒;;網絡支持干預對乳腺癌術后患者疾病不確定感的影響[J];中華護理雜志;2010年01期

，

本文編號：1347554