三种不同加压包扎方法在乳腺癌改良根治术创面的应用研究  

Comparative study of three three kinds of ressure dressing methods for patients with modified breast cancer radical operation

作　　者：杨红叶[1] 刘玲玲[1] 周燕秋[1] 

机构地区：[1]广西壮族自治区人民医院肝胆腺体外科,广西南宁530021

出　　处：《护士进修杂志》2008年第2期105-106,共2页Journal of Nurses Training

摘　　要：目的探讨在乳腺癌改良根治术创面应用中最有效的加压包扎方法。方法选取150例乳腺癌改良根治术,将病例随机分为3组,每组50例。A组创面采用胸带加压包扎;B组创面采用宽绷带加压包扎;C组采用双层弹力网制成的网袋套入胸部加压包扎。通过不同加压方法对乳腺癌改良根治手术后患者的创面皮下积液、皮肤Ⅰ期愈合例数、术后平均愈合天数和拔管时间等进行分析,对比不同方法的效果。结果C组的创面皮下积液发生率、平均拔管时间、切口愈合时间均低于A、B组(P<0.05),切口I期愈合率高于A、B组(P<0.05)。结论使用双层弹力网的加压方法能均匀施压,有效地减少乳腺癌术后并发症的发生。Objective To study the different effect of three pressure dressing methods after modified radical mas tectomy. Method 150 patients with breast cancer modified radical mastectomy were divided into three group, group A was applied pressure dressing with thoracic girdle; group B was applied presrue dressing with width bandage and groud C were applied double layer of elastic net. The occurence rate of subcutaneously fluidify, one-stage healing rate, the average healing day and time of drawing drainage tube were analyzed. Result The occurence rate of subcu taneously fluidify, the average healing day and time of drawing drainage tube after modified radical mastectomy in group C were significantly lower than that of group A and group B, one-stage healing rate in group C was significant higher than that of other two groups. Conclusion Pressure dressing with double layer of elastic net after modified radical mastectomy may make pressure well-distributed, and reduce postoperation complicatiom effectively.

关 键 词：乳腺癌 改良根治术 加压包扎 护理 

分 类 号：R472[医药卫生—护理学] R737.9[医药卫生—临床医学]