Drainobag真空高负压引流瓶引流在老年人乳腺癌术后引流护理中的应用研究.docxVIP

Drainobag真空高负压引流瓶引流在老年人乳腺癌术后引流护理中的应用研究 张秀芳代莉段佐平 ［摘 要］目的探讨老年人乳腺癌术后Drainobag真空高负压引流瓶的引流效 果方法126例行乳腺癌改良根治术的老年患者(ge;60岁)随机分为两组， 观察组术后采用Drainobag真空高负压引流瓶引流，对照组采用一次负压引流器 引流，比较两组患者短期腋窝外形及皮下积液、皮瓣坏死并发症的发生情况。结 果观察组和对照组患者平均置管时间、术后72 h引流量、住院天数均低于对照 组(6.3plusmn;1.4 d VS 7.9plusmn;1.9 d, t=5.38, Plt;0.001； 98.3plusmn;37.0 ml VS 68.5plusmn;20.3 ml, t=9.37, Plt;0.001； 11.5plusmn;2.9 d VS 14.8plusmn;3.3d,； t=5.96, Plt;O.OOl)；观察组和对照组患者术后短期腋窝外 形评级良好者分别为58例(92.1%),47例(74.60%),观察组优于对照组(Z=-2.619, P=0.009)；观察组和对照组皮下积液分别为5例(7.9%), 13例(20.6%),差异 有统计学意义(chi;2=4.148,P=0.042)；皮瓣坏死分别为2例(4.01%), 6例(2.97%), 差异无统计学意义(chi;2二1.201, P二0.273)。结论老年人乳腺癌术后应用 Drainobag真空高负压引流瓶引流效果好，可减少皮下积液、皮瓣坏死的发生、 术后恢复快。 ［关键词］Drainobag真空高负压引流瓶 乳腺癌改良根治术 老年 皮下积液 皮瓣坏死 DOI:10.3760/cma.j.issn.1672-7088.2014.30.5 作者单位：641000,四川省内江市，四川省内江市第一人民医院普外科 ［作者简介］张秀芳(1973—)，女，四川省内江市第一人民医院(重庆医科 大学非直属附属医院、泸州医科大学内江附属医院)普外科副主任护师，护士长， 主要研究外科临床护理和护理管理。 The Application of Vacuum High Negative Pressure Drainage Systems for Modified Radical Mastectomy in the Elderly Patients with Breast Cancer Zhang Xiufang, Dai Li, Duan ZuoPing Abstract: Objective To investigate the drainage effect of vacuum high negative pressure drainage systems for mochfied radical mastectomy in the elderly patients with breast cancer. Methods 126 elderly patients with breast cancer (ge; 60 years old) were randomly divided into two the observation group and control group, which respectively adopted the Drainobag vacuum high negative pressure drainage and one?off negative pressure drainage catheters after surgery. The average time of insertion, subaxillary drainage volume in 72h, hospital stay, and short-term axillary shape, incidenee of subcutaneous hydrops and skin flap necrosis of the two groups were compared. Results The average time of insertion, subaxillary drainage volume, hospital stay of the observation group were lower than the control group (6.3 plusmn; 1.4 d VS 7.9 plusmn; 1.9 d, t = 5.38, P lt;0.001; 98.3 plusmn; 37.0 ml VS 68.5 plusmn; 20.3 ml, t = 9.37, P lt;