延续性护理在小切口皮下修剪联合负压抽吸搔刮术治疗腋臭中的应用  

Application of continuous nursing in treatment of bromhidrosis by subcutaneous pruning through small incision combined with negative pressure suction and curettage

作　　者：余婷 刘小加[1] 李高峰[1] 丁卫[1] Yu Ting;Liu Xiaojia;Li Gaofeng;Ding Wei(Department of Plastic Surgery and Cosmetic Laser,Hunan Provincial People's Hospital,The First Affiliated Hospital of Hunan Normal University,Changsha 410005,China)

机构地区：[1]湖南省人民医院湖南师范大学附属第一医院整形与激光美容外科,长沙410005

出　　处：《国际医药卫生导报》2022年第15期2136-2139,共4页International Medicine and Health Guidance News

基　　金：2022年度湖南省中医药科研计划项目(E2022019)。

摘　　要：目的探讨延续性护理在小切口皮下修剪联合负压抽吸搔刮术治疗腋臭的应用效果。方法选取湖南师范大学附属第一医院2020年5月至2021年5月门诊收治的行小切口皮下修剪联合负压抽吸搔刮术治疗的腋臭患者80例。根据患者术后采用不同护理措施分为观察组与对照组,各40例。观察组中男32例,女8例;年龄18~49(25.5±7.1)岁;Park分级:Ⅱ级10例,Ⅲ级16例,Ⅳ级14例。对照组男32例,女8例;年龄16~47(25.2±5.9)岁;Park分级:Ⅱ级11例,Ⅲ级17例,Ⅳ级12例。观察组在整个围手术期实施延续性护理,对照组则采取常规护理,于术后1周采用SPSS 25.0软件对两组患者满意度及并发症发生情况进行统计和比较。采用独立样本t检验,χ^(2)检验。结果观察组的总满意度为97.5%(39/40),明显高于对照组的总满意度为82.5%(33/40),差异有统计学意义(χ^(2)=5.100,P=0.025)。观察组术后仅2例皮下血肿,并发症发生率为5.0%(2/40),对照组术后发生5例皮下血肿、3例皮瓣坏死及1例感染,并发症总发生率为22.5%(9/40),观察组并发症发生率明显低于对照组(χ^(2)=5.165,P=0.023)。结论在小切口皮下修剪联合负压抽吸搔刮术治疗腋臭的围手术期实施延续性护理,可提高患者满意度,降低手术并发症的发生率,值得临床推广运用。Objective To investigate the effect of continuous nursing in the treatment of bromhidrosis by subcutaneous pruning through small incision combined with negative pressure suction and curettage.Methods Eighty patients with bromhidrosis treated by small incision subcutaneous pruning combined with negative pressure suction and curettage in Outpatient Department,The First Affiliated Hospital of Hunan Normal University from May 2020 to May 2022 were selected.According to different nursing measures,the patients were divided into an observation group and a control group,with 40 cases in each group.There were 32 males and 8 females in the observation group,with an age of(25.5±7.1);there were 10 cases of Park grade Ⅱ,16 cases of grade Ⅲ,and 14 cases of grade Ⅳ.There were 32 males and 8 females in the control group,with an age of(25.2±5.9);there were 11 cases of Park grade Ⅱ,17 cases of grade Ⅲ,12 cases of grade Ⅳ.The observation group implemented continuous nursing during the whole perioperative period,while the control group adopted routine nursing.One week after the operation,the patient satisfaction and complications of the two groups were calculated and compared.Independent-sample t and χ^(2) tests were applied.Results The total satisfaction of the observation groupwas 97.5%(39/40),whichwas significantly higher than that of the control group[82.5%(33/40)],with a statistical difference(χ^(2)=5.100,P=0.025).There were only 2 cases of subcutaneous hematoma in the observation group,and the incidence of complications was 5.0%(2/40);there were 5 cases of subcutaneous hematoma,3 cases of flap necrosis,and 1 case of infection in the control group,and the incidence of complications was 22.5%(9/40);the incidence of complications in the observation group were significantly lower than that in the control group(χ^(2)=5.165,P=0.023).Conclusion In the treatment of bromhidrosis by small incision subcutaneous pruning combined with negative pressure suction and curettage,the implementation of continuous nursing in the p

关 键 词：腋臭 微创手术 护理 手术 

分 类 号：R473.75[医药卫生—护理学]