自制背心组合包扎装置在乳腺癌术后患者中的应用  

Application of self-made vestlike dressing device in patients with breast cancer after the operation

作　　者：刘玉芬[1] 姚楠[1] 张雨檬[1] 张国超[1] 

机构地区：[1]北京中日友好医院普通外科, 100029

出　　处：《中华现代护理杂志》2014年第5期595-599,共5页Chinese Journal of Modern Nursing

摘　　要：目的 观察自行设计的背心组合包扎装置应用于乳腺癌术后患者的临床效果和经济实用性.方法 将符合纳入标准的60例患者,随机分成两组：背心组合包扎装置组（背心组）30例和自粘弹力绷带组（绷带组）30例,记录并比较两组患者术后的引流量、带管时间、有无皮下积液及皮瓣坏死、不适程度评分.结果 两组患者术后第1～3天引流量及术后腋窝引流、胸壁总引流量比较差异均有统计学意义（P＜0.05）;背心组、绷带组术后总引流量分别为（562.1±107.3）,（986.9.6±208.1）ml,带管时间分别为（9.8±2.1）,（13.0±4.7）d,术后第1天舒适度评分分别为（1.4±0.8）,（2.5±0.7）分,第3天分别为（1.4±0.8）,（2.8±0.6）分,两组比较差异均有统计学意义（t值分别为-3.246,-2.422,-3.816,-4.457;P＜0.01）;背心组的包扎费用为（259.7±36.0）元,包扎时间为（32.1±5.8）s,均优于绷带组的（430.2±119.3）元、（85.3±21.9）s,两组比较差异有统计学意义（t值分别为-5.309,-8.82;P＜0.01）;绷带组皮下积液发生率为33.3％,高于背心组的3.33％,两组比较差异有统计学意义（x2=9.017,P＜0.01）;两组中均无皮瓣坏死情况出现.结论 乳腺癌改良根治术后,应用背心组合包扎装置相对于绷带组,可以减少术后引流量、带管时间和皮下积液的发生率,减轻患者包扎的不适程度,值得在乳腺癌术后推广应用.Objective To observe the clinical effect and economic utility of self-designedvestlike dressing device in patients with breast cancer after the operation.Methods Sixty patients who met the inclusion criteria were randomly divided into the self-made vestlike dressing device group （the observation group） and the self-adhesive elastic bandage group （the control group）,each with 30 cases.The quantity of postoperative drainage,the time of intubation,the rate of subcutaneous hydrops and flap necrosis,the degree of discomfort were compared between the two groups.Results The differences were found in the quantity of drainage the first and third day after the operation,the quantity of drainage from axillary approach and chest wall between the two groups （P 〈 0.05）.In the two groups,the quantity of drainage were respectively （562.1 ± 107.3） ml and （986.9.6 ± 208.1） ml; the time of intubation were respectively （9.8 ± 2.1） d and （13.0 ± 4.7） d ; the scores of comfort were respectively （1.4 ± 0.8） and （2.5 ± 0.7） on the first day after the operation,and were （1.4 ± 0.8） and （2.8 ± 0.6） on the third day after the operation; and the differences were statistically significant （t =-3.246,-2.422,-3.816,-4.457,respectively ;P 〈 0.01）.The fee and time of bandage were respectively （259.7 ± 36.0） yuan,（32.1 ± 5.8） s in the observation group,and were （430.2 ± 119.3） yuan,（85.3 ± 21.9） s in the control group,and the differences were statistically significant （t =-5.309,-8.82,respectively;P 〈 0.01）.The rate of subcutaneous hydrops was 33.3% in the control group,and was significantly higher than 3.33% in the observation group,and the difference was statistically significant （x2 =9.017,P 〈0.01）.No the occurrence of flap necrosis was found in the two groups.Conclusions Application of self-made vestlike dressing device in patients with breast cancer after the operation can reduce the quantity of postoperative drainage,the time of intubation and the ra

关 键 词：乳腺肿瘤 技术革新 皮下积液 自制背心组合包扎装置 舒适度 

分 类 号：R737.9[医药卫生—肿瘤]