切口不加压包扎联合早期功能锻炼在乳腺癌术后患者应用价值探讨

Application value of incision with no compression bandage combined with early function rehabilitation for patients with breast cancer after operation

目的寻求预防或降低乳腺癌术后发生皮瓣坏死、皮下积液、患肢功能障碍、上肢淋巴水肿的方法,评价切口不加压包扎联合早期功能锻炼措施在乳腺癌术后患者中的应用价值。方法选取本院甲乳外科行单侧乳腺癌改良根治术的患者150例,随机分为实验组和对照组各75例,对照组采用常规方法护理,实验组采用快速康复外科相关措施进行干预,并随访至术后1年,对2组患者术后引流管拔除时间、伤口愈合、住院天数、治疗费用、患肢肩关节活动度、患肢淋巴水肿发生率及程度等指标进行观察分析。结果实验组患者皮瓣坏死、皮下积液、患肢淋巴水肿的发生率并不高于对照组。上肢运功功能的恢复情况显著优于对照组,差异有统计学意义(P<0.05);2组拔管时间、住院天数、治疗费用无统计学差异(P>0.05)。结论切口不加压包扎联合早期功能锻炼可有效应用在乳腺癌术后患者恢复中,具有临床应用价值。

Objective To explore value of incision with no compression bandage combined with early function rehabilitation for patients with？ breast cancer？ after operation. Methods A total of 150 breast cancer patients underwent unilateral modified radical mastectomy were randomly divided into experimental group and the control group, with 75 cases per group. The control group used con- ventional nursing, and the experimental group adopted postoperative fast -track surgery nursing, and the patients were followed up for one year after surgery. Drainage tube removal time, wound healing, hospitalization days, cost of treatment, limb shoulder joint activity and limb lymphedema incidence were compared between groups. Results The incidences of skin flap necrosis, subcutaneous effusion, and upper limb lymphedema of experimental group were not higher than the control group. The func- tion recovery of upper limb exercise was obviously better than the control group, the difference was sta- tistically significant （ P 〈 0.05 ）. No significant difference was seen in extubation time, hospitalization days and cost of treatment in two groups （P 〉 0.05 ）. Conclusion The incision with no compression bandage combined with functional exercise can promote the recovery for postoperative patients with breast cancer, and it has important clinical value.