本文選題：皮瓣引流護(hù)理技術(shù) + 乳腺癌　； 參考：《實(shí)用醫(yī)學(xué)雜志》2017年19期

【摘要】：目的探討皮瓣引流護(hù)理技術(shù)在乳腺癌術(shù)后皮下積液護(hù)理中的應(yīng)用研究效果。方法選取行單側(cè)乳腺癌改良根治術(shù)患者180例,遵循自愿入組的原則,按手術(shù)先后隨機(jī)分為對(duì)照組和觀察組,每組各90例,對(duì)照組實(shí)施常規(guī)護(hù)理模式;觀察組在常規(guī)護(hù)理的基礎(chǔ)上聯(lián)合應(yīng)用了單手起床操、患肢制動(dòng)專用袖套、皮瓣固定包扎改良法、負(fù)壓最優(yōu)組合方案等方式。結(jié)果本組180例患者中,對(duì)比術(shù)后帶管期間引流總量及帶管時(shí)間,觀察組少于對(duì)照組(P0.05);術(shù)后第1天至拔管期間疼痛評(píng)分進(jìn)行比較對(duì)照組明顯高于觀察組(P0.05);患者的滿意度比較觀察組高于對(duì)照組(P0.05);拔管后皮下積液的發(fā)生率對(duì)照組高于觀察組(P0.05)。結(jié)論針對(duì)乳腺癌術(shù)后皮下積液的特點(diǎn),實(shí)施皮瓣引流護(hù)理技術(shù),形成綜合護(hù)理干預(yù)措施,減少了皮下積液的發(fā)生,促進(jìn)了患者康復(fù)。
[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.
【作者單位】： 南京醫(yī)科大學(xué)第一附屬醫(yī)院普外乳腺病科;
【基金】：國(guó)家自然科學(xué)基金(編號(hào):81572607)
【分類號(hào)】：R473.73

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