改良结构性胸带加压包扎法在乳腺癌根治术后的应用

Application of improved structured chest compression bandaging to patients with radical mastectomy

目的：探讨改良结构性胸带加压包扎法在乳腺癌根治术后的应用效果。方法：将94例乳腺癌患者随机分为两组，观察组52例采用改良结构性胸带加压包扎，压力值设定在4.0kPa；对照组42例采用传统胸带加压包扎，压力为3．0～6．7kPa，观察两组的临床效果并比较。结果：观察组皮下积液、皮瓣坏死的发生率、拔管时间、引流量与对照组比较均有显著性差异（P〈0．05），切口一期愈合率与对照组比较有极显著性差异（P〈0．01）。结论：对乳腺癌根治术后患者采用改良结构性胸带加压包扎法，可减少并发症的发生，促进切口愈合，缩短住院时间。

Objective ： To study the efficacy of improved structured chest compression bandaging in patients with radical mastectomy. Methods： Ninety four patients were randomly divided observation group （n = 52） and control group （ n =42）. The patients in observation group were bandaged with improved structured chest bandages by compression （4.0kPa） and the patients in control group were bandaged with common chest bandages by compression （ 3.0 - 6.7kPa ）. The effectiveness was observed and compared between the two groups. Results ： There were significant differences in the comparison of the incidence of subcutaneous fluid and flap necrosis, extubating time, amount of drainage between the two groups （ P 〈 0. 05 ）. The significant difference was also found in the comparison of healing rate of incision in phase I （ P 〈 0. 01 ）. Conclusion ： Improved structured chest compression bandaging can reduce postoperative complication, accelerate healing of wound and shorten the time of hospitalization.