本文選題：乳腺癌 + 腋窩清掃術(shù)�。� 參考：《廣東醫(yī)學》2017年06期

【摘要】：目的了解乳腺癌腋窩清掃術(shù)后患者上肢淋巴水腫的發(fā)生情況及防治認知狀況。方法采用便利抽樣方法選擇病理確診乳腺癌且行腋窩清掃術(shù)患者194例,調(diào)查一般基本資料、疾病資料、治療資料、防治認知情況。結(jié)果乳腺癌腋窩清掃術(shù)后上肢淋巴水腫發(fā)生率為21.6%,其中手術(shù)后未放療患者淋巴水腫發(fā)生率為13.6%,手術(shù)后放療患者淋巴水腫發(fā)生率為42.6%。水腫患者與未水腫患者的年齡、職業(yè)、疾病分期、是否放療及防治認知狀況比較,差異有統(tǒng)計學意義(P0.05)。結(jié)論乳腺癌腋窩清掃術(shù)后,年齡、職業(yè)、疾病分期、是否放療、防治認知情況是水腫發(fā)生的影響因素,應(yīng)強化患者的健康教育,針對高危水腫人群重點跟蹤管理,幫助患者做到早期預(yù)防、早期干預(yù),做好護患對淋巴水腫防治的共同管理。
[Abstract]:Objective to investigate the occurrence of upper limb lymphedema after axillary dissection of breast cancer and its prevention and treatment. Methods 194 patients with breast cancer diagnosed by pathology and underwent axillary dissection were selected by convenience sampling. The general information, disease data, treatment data and cognition of prevention and treatment were investigated. Results the incidence of upper limb lymphedema in breast cancer after axillary dissection was 21.6. among them, the incidence of lymphedema was 13.6in patients without radiotherapy after operation and 42.6 in patients with post-operative radiotherapy. There were significant differences in age, occupation, disease stage, radiotherapy, prevention and treatment between patients with edema and those without edema (P 0.05). Conclusion after axillary dissection of breast cancer, age, occupation, stage of disease, radiotherapy and cognition of prevention and treatment are the influencing factors of edema. The health education of patients should be strengthened and the management of high risk edema population should be emphasized. To help patients achieve early prevention, early intervention, to do a good job in the prevention and treatment of lymphedema common management.
【作者單位】： 南方醫(yī)科大學南方醫(yī)院乳腺科;
【基金】：南方醫(yī)院護理創(chuàng)優(yōu)-循證實踐專項立項資助項目(編號:2016EBNa004)
【分類號】：R737.9

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本文編號：2011488