术前乳头乳晕擦洗对降低乳晕切口假体隆乳术后感染风险的护理分析

Nursing Analysis of the Efficiency of Reducing the Inflammation Risk in Augmentation Mammaplasty by Scrub of Nipple-areolar Complex

目的:探讨术前乳头乳晕擦洗护理降低乳晕切口假体隆乳术后感染的效果。方法:选择2016年9月-2017年9月于笔者科室行乳晕切口假体隆乳术就医者101例为研究对象,随机分为对照组50例和研究组51例。对照组实施常规护理,研究组围手术期增加乳头乳晕擦洗护理,评价比较两组就医者护理效果,包括术前乳头乳晕擦拭子细菌培养、术后3个月切口愈合情况。结果:研究组术前乳头乳晕细菌培养结果、术后3个月切口愈合情况及就医者自我评价均明显优于对照组,差异具有统计学意义(P<0.05)。结论:乳晕切口假体隆乳术就医者围手术期增加乳头乳晕擦洗护理可降低术后感染风险、减少术后并发症发生,值得临床推广应用。

Objective To discuss the effciency of reducing the infammation risk in augmentation mammaplasty by scrubbing the nipple-areolar complex （NAC） preoperatively. Methods 101 patients that underwent augmentation mammaplasty through periareolar approach in the Plastic and Cosmetic Department of Guangdong Second Provincial General Hospital from September 2016 to September 2017 were included in this study, randomly divided into the control group（50 cases） and the study group（51 cases）. Patients in the study group received an extra NAC scrubbing in addition to general perioperative nursery. Bacteria cultures which the sample was taken from NAC and the healing of the incision after 3 months follow-up were evaluated as comparison. Results The results of the bacterial culture of the nipple and areola, the healing of the incision 3 months after the operation and the self evaluation of the doctors in the study group were obviously superior to those of the control group, and the difference were statistically signifcant（P〈0.05）. Conclusion NAC scrubbing could reduce the infammation risk for augmentation mammaplasty through periareolar approach and it should be widely used for preoperative preparation.