简易负压封闭引流防治乳腺癌术后皮下积液的效果  

Effects of simple vacuum sealing drainage on the prevention and treatment of the subcutaneous effusion after breast cancer radical correlation

作　　者：艾凌艳[1] 余维涛[2] 叶爱琴[3] 胡文弋 车河龙[4] 周江军[5] 

机构地区：[1]解放军第一八四医院静配中心,鹰潭335000 [2]解放军第一八四医院医务处,鹰潭335000 [3]解放军第一八四医院护理部,鹰潭335000 [4]解放军第一八四医院普外科,鹰潭335000 [5]解放军第一八四医院骨科,鹰潭335000

出　　处：《中华现代护理杂志》2015年第35期4277-4279,共3页Chinese Journal of Modern Nursing

基　　金：全军“十二五计划后勤科研”重点项目（BNJ13J003）

摘　　要：目的评价简易负压封闭引流裴置防治乳腺癌皮下积液疗效。方法选择2006年6月-2012年6月乳腺癌患者122例，采用随机数字表法分为对照组（n=60）和实验组（n=62），对照组采取常规引流管引流法，实验组采取简易负压封闭引流法。比较两组患者皮下积液、感染及皮瓣坏死情况，统计两组拔管时间和日引流量。结果对照组患者皮下积液、感染及皮瓣坏死发生率分别为12．9％，6．4％，8．1％；实验组患者只出现皮下积液，发生率1．7％；两组比较差异有统计学意义（x。值分别为7．90，8．31，9．12；P〈0．01）。实验组拔管时间为（6．8±2．3）d，平均日引流量为（105±28）ml，对照组分别为（10．5±3．1）d和（70±38）ml，两组比较差异有统计学意义（t值分别为2．10，3．95；P〈0．05）。结论简易负压封闭引流装置可以防止乳腺癌术后皮下积液、术后感染及皮瓣坏死，可以早期拔管，值得推广。．Objective To evaluate the curative effects of vacuum sealing drainage equipment on prevention and treatment of subcutaneous effusion after breast cancer radical correction. Methods A total of 122 cases of breast cancer patients from June 2006 to June 2012 were randomly divided into control group （ n = 62） and intervention group （ n = 60）. The patients of control group underwent the conventional drainage while the patients of intervention group received the vacuum sealing drainage. The situation of subcutaneous effusion, infection, skin flap necrosis~, decannulation time as well as day flow conditions in two groups were observed and compared. Results The incidence of subcutaneous effusion, infection and skin flap necrosis in control group were 12.9%, 6.4%, 8.1% respectively. In intervention group, the incidence rate of subcutaneous effusion was 1.7%, and no infection, and skin flap necrosis had been observed （ X2 = 7.90,8.31,9.12 ; P 〈 0. 01 ）. The extubation time and day flow conditions in control group was （ 6.8 ± 2. 3 ） d and （ 70 ± 38 ） ml, while the intervention group were （ 10.5 ±3.1 ） d and （ 105 ±28 ） ml with statistical significance （ t = 2. 10,3.95 ; P 〈 0. 05）. Conclusions Simple vacuum sealing drainage device can not only prevent the subcutaneous effusion, infection and skin flap necrosis after breast cancer radical correction, but also can realize the early extubation, therefore it is worthy of promotion in clinical.

关 键 词：负压封闭引流 乳腺肿瘤 皮下积液 护理 

分 类 号：R473.73[医药卫生—护理学]