自行设计新型医用胸带在副乳腺切除术后的应用

Application of New-type Medical Chest Belt in Patients with Accessory Breast Resection

目的观察患者副乳腺手术后应用自行设计医用胸带协助包扎伤口的效果。方法自行设计和制作副乳腺切除术后新型医用胸带,选择80例副乳腺手术后患者进行临床应用观察,并与80例使用传统的绷带包扎方法的对照组患者进行对比,术后定时访视患者,采用问卷法询问舒适度、记录皮下积液发生率、引流管放置天数、负压引流量、换药所需时间和次数等情况。结果经统计学处理,两组患者在舒适度、并发症、换药时间、换药次数以及引流管放置时间、引流量方面比较差异均有统计学意义(P<0.01),观察组显著优于对照组。结论副乳腺切除术后新型医用胸带能根据患者体形、包扎需要作灵活调整,提高患者舒适度,减少术后并发症发生,简化换药的操作程序,减轻换药难度,缩短换药时间,提高工作效率,值得在临床推广应用。

Objective To observe the recovery effects of new-type medical chest belt of assisting in the bandaging the cut among patients with accessory breast surgery. Methods New-type chest belt was designed. 160 patients with accessory breast surgery were divided into the observation group, whose cuts were bandaged with the new-type chest belt, and the control group, whose cuts were in the traditional way. Regular visits were made to the patients after the surgery, inquiring about their degree of comfort by means of questionnaire, recording the incidence rate of subcutaneous hydrops, the number of days of drainage tube indwelling, the negative pressure drainage amount, the interval between and the number of the medicine changes, of the two groups. Results The differences in the various aspects mentioned above between the two groups were all statistically significant （P〈0.01）, with those of the observation group markedly superior to those of the control group. Conclusion The new-type medical chest belt can be adjusted flexibly according to the patients body shape, enhance the patients degree of comfort, lower the incidence of complications, simplify the medicine change, shorten the time of medicine changes, increase the work efficiency, and thus worth popularization clinically.