湿性疗法在乳腺癌改良根治术后皮瓣坏死的应用效果分析.docVIP

精品论文 参考文献 湿性疗法在乳腺癌改良根治术后皮瓣坏死的应用效果分析 陈群※ 黄华平 李叶萍 何慧琳（四川绵阳市中心医院 四川 绵阳 621000） 　　【摘 要】目的：分析湿性疗法在乳腺癌改良根治术后皮瓣坏死的应用效果。方法：将某三甲医院2010 年1 月—2012 年1 月38 例乳腺癌改良根治术后皮瓣坏死的患者作为对照组，2012 年2 月-2014 年5 月40 例乳腺癌改良根治术后皮瓣坏死的患者作为观察组，观察组采用湿性疗法，对照组采用传统干性愈合方法，比较两组创面的愈合效果。结果：观察组创面愈合时间（33.4plusmn;4.8）d，短于对照组（55.4plusmn;5.1）d，两组比较差异有统计学意义（plt;0.05)。观察组疼痛评分（2.5plusmn;1.2），对照组疼痛评分（4.2.plusmn;2.3），两组比较，差异有统计学意义（plt;0.05)。结论：湿性疗法对乳腺癌改良根治术后皮瓣坏死的创面治疗效果优于传统组，具有加速创面愈合，减轻患者疼痛的优点。 　　【关键词】湿性疗法；乳腺癌改良根治术；皮瓣坏死【中图分类号】R737.9 【文献标识码】B 【文章编号】1003-5028（2015）5-0213-01【Abstract】Objective：To investigate the efficacy the Humectation therapy for Skin flap necrosis after Breast cancer modified radical . Methods：From January 2010 to January2012, 38 Skin flap necrosis after Breast cancer modified radical were conducted to the matched group. From February 2012 to May 2014, 40 Skin flap necrosis after Breast cancermodified radical were conducted to the observation group. The observation group were adopted the Humectation therapy and the matched group were treated by the traditional methodof dry heal therapy. the results of examination were used to evaluate the efficacy during the follow up. Results：The time of close up in patients the observation group were （33.4plusmn;4.8）d and for the matched group, it was （55.4plusmn;5.1）d, there was a statistical significance. The score of pain in the observation group were （2.5plusmn;1.2）and the matched group were（4.2.plusmn;2.3）, there was a statistical significance. Conclusion：Humectation therapy for Skin flap necrosis after Breast cancer modified radical is an effective way which has manyadvantages such as accelerating the wound close up and relieving the pain of the patients.【Key words】Humectation therapy；Breast cancer modified radical 　　乳腺癌是女性常见恶性肿瘤之一，在我国乳腺癌发病率占全身恶性肿瘤的7％一10％，在恶性肿瘤中排第l或第2位，并有逐渐升高的趋势。已成为危及女性生命的首要疾病[1] ，乳腺癌根治术是乳腺癌最主要的治疗方法，由于手术创面大、皮肤与其下的动静脉血管被直接切断、术中皮瓣游离较薄、术后皮瓣张力过大等原因，导致术后皮瓣坏死。皮瓣坏死后处理最常用的方法就是传统换药。四川省绵阳市中心医院于2012年2月开始对乳癌改良根治术后皮瓣坏死的患者伤口采用新型湿性敷料进行伤口换药，缩短了患者伤口治愈时间，取得了良