真空高负压引流与潘氏管双管引流在乳腺癌手术中的应用效果  

Application effect of high vacuum negative pressure drainage and Pan tube double tube drainage in breast cancer surgery

作　　者：李文霞[1] 刘丹[2] 黄淑俊[1] 

机构地区：[1]广东省中医院麻醉科,广东广州510120 [2]广东省中医院乳腺科,广东广州510120

出　　处：《中国医药导报》2015年第35期99-102,共4页China Medical Herald

基　　金：广东省中医药局建设中医药强省科研课题(20151211)

摘　　要：目的探讨真空高负压引流与潘氏管双管引流在乳腺癌手术中的应用效果。方法分析2014年8月～2015年7月广东省中医院收治的乳腺癌患者100例的临床资料，依据引流方式不同将患者分为真空高负压引流组50例和潘氏管双管引流组50例。观察两组患者胸壁拔管时间、腋窝拔管时间、术后3d引流量情况、舒适度情况以及术后并发症发生情况。结果真空高负压引流组胸壁拔管时间【（6．0±0．4）d]、腋窝拔管时间[（14．5±0．5）d】均明显短于潘氏管双管引流组[（7．5±0．5）、（16．0±0．6）d】，差异有统计学意义（t=16．56、13．58，P=0．028、0．030）。真空高负压引流组患者舒适度满意比例（100％）高于潘氏管双管引流组（70％），差异有统计学意义（χ2=35．29，P=0．012）。真空高负压引流组患者术后并发症发生率（8％）低于潘氏管双管引流组（30％），差异有统计学意义（χ2=15．72．P=0．012）。结论真空高负压引流瓶应用于乳腺癌患者具有拔管时问短、舒适度好、并发症少的优点，值得临床推广应用。Objective To investigate the application effect of high vacuum negative pressure drainage and Pan tube double tube drainage in breast cancer surgery. Methods The clinical data of 100 patients with breast cancer admitted to Guangdong Traditional Chinese Medicine Hospital from August 2014 to July 2015 were analyzed, and the patients were divided into 50 cases of high vacuum negative pressure drainage group and 50 cases of Pan tube double tube drainage group according to different drainage ways, The chest wall extubation time, axillary extubation time, volume of drainage in postoperative 3 d, comfort level and postoperative complications of the two groups were observed. Results The chest wall extubation time [（6.0±0.4） d], axillary extubation time [（14.5±0.5） d] of high vacuum negative pressure drainage group were shorter than those of Pan tube double tube drainage group [（7.5±0.5）, （16.0±0.6） d], the differences were statistically significant （t = 16.56, 13.58, P = 0.028, 0.030）. The satisfaction ratio of comfort （100%） in high vacuum negative pressure drainage group was higher than that of Pan tube double tube drainage group （70%）, the difference was statistically significant （χ2=35.29, P = 0.012）. The incidence of postoperative complications （8%） of high vacuum negative pressure drainage group was lower than that of Pan tube double tube drainage group （30%）, the difference was statistically significant （χ2=15.72, P = 0.012）. Conclusion The application of high vacuum negative pressure drainage bottle in patients with breast cancer has the advantages of shorter extubation time, better comfort level and less com- plications, which is worthy of clinical promotion and application.

关 键 词：真空高负压引流 双管引流 乳腺癌 效果 

分 类 号：R737.9[医药卫生—肿瘤]