资源描述:
《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》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、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宄张秀芳代莉段佐平[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(≥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卜'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72h引流量、住院天数均低于对照组(6.3±1.4dVS7.9±1.9d,t=5.38
2、,P<O.OOl;98.3±37.0mlVS68.5±20.3ml,t=9.37,P<O.OOl;11.5±2.9dVS14.8±3.3d,;t=5.96,P<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(&<^;2=4.148^=0.042);皮瓣坏死分别为2例
3、(4.01%),6例(2.97%),差异无统计学意义(χ2=1.201,P=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:641000,四川省闪江市,四川省闪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
4、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。TheApplicationofVacuumHighNegativePressureDrainageSystemsforModifiedRadicalMastectomyintheElderlyPatientswithBreastCancerZhangXiufang,DaiLi,DuanZuoPingAbstract:ObjectiveToinvestigatethedrainageeffectofvacuumhighnegativepressuredrain
5、agesystemsformodifiedradicalmastectomyintheelderlypatientswithbreastcancer.Methods126elderlypatientswithbreastcancer(≥60yearsold)wererandomlydividedintotwotheobservationgroupandcontrolgroup,whichrespectivelyadoptedtheDrainobagvacuumhighnegativepressuredrainageandone-o
6、ffnegativepressuredrainagecathetersaftersurgery.Theaveragetimeofinsertion,subaxillarydrainagevolumein72h,hospitalstay,andshort-termaxillaryshape,incidenceofsubcutaneoushydropsandskinflapnecrosisofthetwogroupswerecompared.ResultsTheaveragetimeofinsertion,subaxillarydraina
7、gevolume,hospitalstayoftheobservationgroupwerelowerthanthecontrolgroup(6.3±1.4dVS7.9±1.9d,t=5.38,P<0.001;98.3±37.0mlVS68.5±20.3ml,t=9.37,P<0.001;11.5±2.9dVS14.8±3.3d,;t=5.96,P<0.001);theshort-termaxillaryshapesrankingfor
8、goodintheobservationgroupandcontrolgroupwere58cases(92.1%)and47cases(74.60%)respectively,thedifferencew