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

  更多相關(guān)文章： 乳腺癌 手術(shù) 引流 影響因素

【摘要】：目的:本研究擬通過(guò)臨床觀察等方法,描述乳腺癌根治術(shù)后患者負(fù)壓引流現(xiàn)狀,探討患者術(shù)后負(fù)壓引流的有效性及持續(xù)性;尋找影響乳腺癌根治術(shù)后負(fù)壓引流的相關(guān)因素。從而得到現(xiàn)階段乳腺癌根治術(shù)后負(fù)壓引流的現(xiàn)狀,明確影響負(fù)壓引流的相關(guān)因素,以期達(dá)到為臨床乳腺癌根治術(shù)后負(fù)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(jí)甲等綜合醫(yī)院乳腺外科住院并行乳腺癌根治術(shù)治療的144例病例,觀察并記錄患者術(shù)后14日內(nèi)一次性負(fù)壓引流器是否為有效狀態(tài),收集患者一般臨床資料、術(shù)后每24小時(shí)引流量、術(shù)后引流時(shí)間及術(shù)后拔管前總引流量等信息。描述乳腺癌根治術(shù)后負(fù)壓引流現(xiàn)狀,分析各相關(guān)因素對(duì)術(shù)后引流量的影響。結(jié)果:1.術(shù)后前3天每日負(fù)壓引流無(wú)效率均較術(shù)后第4天負(fù)壓引流無(wú)效率有顯著統(tǒng)計(jì)學(xué)差異,術(shù)后第4天與第5天之間的負(fù)壓引流無(wú)效率、術(shù)后第5天與第6天之間的負(fù)壓引流無(wú)效率有統(tǒng)計(jì)學(xué)差異。2.術(shù)后天數(shù)"g6天的負(fù)壓引流無(wú)效率均較前一日負(fù)壓引流無(wú)效率無(wú)統(tǒng)計(jì)學(xué)差異。3.年齡及體質(zhì)指數(shù)(BMI)是術(shù)后引流的影響因素;術(shù)前血清白蛋白數(shù)值及引流管置管時(shí)間是術(shù)后引流的顯著影響因素。4.患者合并糖尿病或高血壓對(duì)術(shù)后引流無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論:1.乳腺癌根治術(shù)后要加強(qiáng)負(fù)壓引流的觀察,術(shù)后前5天的引流情況需要關(guān)注,術(shù)后前3天的引流情況尤為值得注意。2.評(píng)估患者引流量及引流情況時(shí),需要納入年齡、BMI、血清白蛋白、引流管置管時(shí)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(xué)位授予單位】：上海交通大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.73

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本文編號(hào)：1347554