乳腺癌合并高血压患者术后伤口愈合不良分析

Analysis of poor wound healing after modified radical mastectomy in breast cancer patients complicated with hypertension

目的:分析乳腺癌合并高血压患者行改良根治术后伤口愈合不良的原因,探寻促进伤口愈合的方法。方法:随机选取我院2012年8月-2014年8月收治的76例乳腺癌患者的临床资料,按是否并发高血压分为两组,对照组无并发症37例;并发高血压组39例,对比两组患者伤口愈合情况。结果:对照组平均置管时间(19.1±7.0)天,并发高血压组平均置管时间(29.3±18.3)天,引流量增多。与对照组比较,并发高血压组患者伤口愈合迟缓,两组患者术后伤口愈合情况比较差异有统计学意义(P<0.01)。结论:并发高血压组乳腺癌患者行改良根治术后引流管留置时间较长,伤口愈合较迟缓。积极调控血压,维持血压平稳,术中术后正确医护,将有效促进患者伤口愈合,明显提高患者术后生活质量。

Objective：To analyze the reasons for Poor wound healing after modified radical mastectomy（ MRM）in breast cancer Patients comPlicated with hyPertension,and to investigate methods to Promote the wound healing. Meth-ods：Clinical data of 76 breast cancer Patients was randomly collected who received modified radical mastectomy in our hosPital from August 2012 to August 2014. 76 breast cancer Patients were divided into two grouPs,the control grouP has 37 Patients without any comPlication,and the observation grouP 39 Patients who were comPlicated by hyPerten-sion. Wound healing was comPared between these two grouPs. Results：Average days of drainage was 19. 1 ± 7. 0 in control grouP,while 29. 3 ± 18. 3 days in the observation grouP with more drainage. ComPared with the control grouP, wound healing in observation grouP was obviously delayed（P〈0. 01）. Conclusion：The wounds of breast cancer Pa-tients comPlicated with hyPertension healed slowly after MRM. The maintenance of stable blood Pressure and ProPer intra-oPerative and Post-oPerative medical nursing will Promote the wound healing effectively and greatly imProve the life quality of Patients after MRM.