| 魏德强,赵 丰,应晨辉.静脉留置针持续引流处理乳腺癌术后皮下积液的临床分析[J].实用中西医结合临床,2020,20(9): |
| 静脉留置针持续引流处理乳腺癌术后皮下积液的临床分析 |
| Clinical analysis of continuous drainage with intravenous indwelling needle in the treatment of subcutaneous hydrops after breast cancer operation. |
| 投稿时间：2020-01-09 修订日期：2020-01-09 |
| DOI： |
| 中文关键词: 乳腺癌 皮下积液 静脉留置针 引流 |
| 英文关键词: Breast cancer subcutaneous hydrops intravenous indwelling needle drainage |
| 基金项目:福建省自然科学(2013J01351) |
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| 中文摘要: |
| 目的：探讨使用静脉留置针持续引流处理乳腺癌术后皮下积液的效果。方法：回顾性分析2018年1月-2019年12月福建省建瓯市立医院收治的89例乳腺癌术后皮下积液患者的临床资料。根据处理方式分为传统抽吸组(n=35)和留置引流组(n=54),传统抽吸组每日用一次性50ml注射器穿刺后抽吸积液,留置引流组用一次性静脉留置针穿刺后留置持续引流。比较两组患者引流(抽吸)天数、引流(抽吸)总量、穿刺次数、并发症、结局、满意度和再选择意愿。结果：留置引流组引流天数、引流总量、穿刺次数均显著少于传统抽吸组,患者满意度和再选择意愿均显著高于传统抽吸组,差异均有统计学意义(P＜0.05)。两组患者皮下积液均经各自处理后逐渐愈合,均未发生感染、坏死并发症。结论：使用静脉留置针持续引流处理乳腺癌术后皮下积液,不但可以减少有创操作次数,减轻患者痛苦,而且能够缩短积液消退时间,提高患者接受度和满意度。 |
| 英文摘要: |
| Objective：To investigate the effect of continuous drainage with intravenous indwelling needle in the treatment of subcutaneous hydrops after breast cancer operation. Method：The clinical data of 89 patients with subcutaneous hydrops after breast cancer operation in Jian"ou Municipal Hospital of Fujian Province from January 2018 to December 2019 were analyzed retrospectively. According to the different treatment methods, the patients were divided into two groups: the traditional suction group (n = 35) and the indwelling drainage group (n = 54). The traditional suction group used a disposable 50ml syringe to extract the aspirated liquid every day, and the indwelling drainage group used a venous indwelling needle to retain the continuous drainage. The drainage (suction) days, the total amount of drainage (suction), the number of punctures, satisfaction and the willingness of re selection were compared between the two groups. Result：The number of drainage days, total drainage volume and puncture times in the indwelling drainage group were significantly less than those in the traditional suction group, and the patients" satisfaction and re selection intention were significantly higher than those in the traditional suction group, with statistical significance (P < 0.05). After treatment, the two groups recovered gradually, and no complications of infection and necrosis occurred. Conclusion：The continuous drainage of subcutaneous effusion after breast cancer operation with intravenous indwelling needle can not only reduce the number of invasive operations, reduce the pain of patients, but also shorten the time of effusion regression, improve the acceptance and satisfaction of patients.. |
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