乳腺癌合并糖尿病患者与无基础病乳腺癌患者术后情况对比及护理策略  

Comparison of Postoperative Conditions and Nursing Strategies between Patients with Breast Cancer complicated with Diabetes and those with Non Basic Diseases

作　　者：李香利[1] 叶和珍[1] 施剑青 张丽萍[2] Li Xiangli(Department of Breast Surgery,No.2 Affiliated Hospital of Wenzhou Medical University,Wenzhou 325027)

机构地区：[1]温州医科大学附属第二医院乳腺外科,温州325027 [2]温州医科大学附属第二医院临床技能培训中心

出　　处：《数理医药学杂志》2019年第1期133-135,共3页Journal of Mathematical Medicine

摘　　要：目的:对比糖尿病的乳腺癌患者和单纯乳腺癌患者术后恢复指标,提出护理策略。方法:回顾性分析150例接受乳腺癌根治术患者的临床资料,其中合并糖尿病患者30例,单纯乳腺癌患者120例。结果:糖尿病组与正常组患者术后胸骨旁引流量的差异无统计学意义(P>0.05);与正常组比较,糖尿病组患者术后腋窝引流量[(401.6±35.1)ml vs(314.7±28.9)ml],术后住院时间[(9±1.03)d vs(7.3±0.2)d],术后拔除胸骨旁引流管时间[(4.4±0.6)d vs(3.1±0.15)d],拔除腋窝引流管时间[(8.3±2.7)d vs(6.6±1.9)d],术后皮瓣坏死发生例数(11vs23),差异有统计学意义(P<0.05)。结论:合并糖尿病的乳腺癌患者在行乳腺癌改良根治术后的预后影响比单纯乳腺癌患者更为复杂,需要更加个性化、综合以及多方面的临床护理。Objective:To compare the postoperative recovery indexes of breast cancer patients with diabetes and single breast cancer patients,and put forward the nursing strategy.Methods:Clinical data of 150 patients receiving radical mastectomy were retrospectively analyzed,including 30 patients with diabetes mellitus and 120 patients with breast cancer alone.Results:There was no significant difference in postoperative pleural drainage between the diabetic group and the normal group(P>0.05).Compared with the the normal group,the axillary drainage in the diabetes group[(401.6±35.1ml)ml vs(314.7±28.9ml)ml];Postoperative hospital stay time[(9±1.03)d vs(7.3±0.2)d];Time of removing the chest drainage tube[(4.4±0.6)d vs(3.1±0.15)d];Time of removing the axillary drainage tube[(8.3±2.7)d vs(6.6±1.9)d];cases of flap necrosis(11vs23).There were significant differences in these four aspects(P<0.05).Conclusion:The prognosis effect of modified radical mastectomy for breast cancer patients with diabetes is more complicated than that of single breast cancer patients,and needs more personalized,comprehensive and multifaceted clinical care.

关 键 词：乳腺癌 乳腺癌改良根治术 糖尿病 术后护理 

分 类 号：R473.73[医药卫生—护理学]