乳腺癌病人术后拔管指证的探讨

Probe into postoperative extubation indications of patients with breast cancer

[目的]探讨乳腺癌病人术后的拔管指证。[方法]选择2010年2月—2012年2月在我科行乳腺癌手术的病人200例,按手术时间先后顺序分为观察组和对照组各100例。观察组拔管指证是安置在胸壁的1根引流管引流量持续3d小于10mL拔管,安置在腋窝的1根引流管引流量持续3d小于5mL拔管;对照组拔管指证是两根引流管引流量相加持续3d小于20mL拔管。分别观察两组病人的拔管时间,拔管后皮下积液发生例数及发生率。[结果]观察组乳腺癌病人术后拔管时间长于对照组(P<0.05);观察组皮下积液发生例数少于对照组,观察组皮下积液发生率比对照组明显减少(P<0.05)。[结论]观察组拔管指证使病人术后拔管时间延长,但是可以明显减少皮下积液的发生例数和发生率。

Objective:To probe into postoperative extubation indications of patients with breast cancer.Methods:A total of 200 cases of patients were selected who underwent breast cancer surgery in our hospital from March 2010 to February 2012,and they were divided into observation group and control group according to the operating time sequence,100 cases in each.Extubation indications of observation group was drainage amount of a drainage tube placed in the chest wall was less than 10ml which lasted for 3d,drainage amount of a drainage tube placed in the armpit was less than 5ml which lasted for 3d;extubation indications of control group:added drainage amount of two drainage tube was less than 20mL for last 3d.Then to observe extubation time in both groups of patients,number of cases and incidence of seroma after extubation.Results:Postoperative extubation time in breast cancer patients of observation group was longer than that of control group(P<0.05);the number of cases of seroma occurred in observation group was less than that of control group,the incidence of seroma in observation group was reduced significantly compared with control group(P<0.05).Conclusion:The extubation indications of observation group make postoperative extubation time prolonged,but can significantly reduce the number of cases and incidence of seroma significantly.