乳腺癌改良根治术中改进体位的应用研究

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

石许红¹ 

关键词: 乳腺癌;    改良根治术;    手术体位;    仰卧位;    体位护理;   

DOI  :  10.11997/nitcwm.2017011037

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To observe the application of improved surgical position in modified radical mastectomy for breast cancer. Methods 〓Totally 80 cases of breast cancer patients were divided into improved group(n=40)and traditional group(n=40)according to different surgical positions. Patients in the control group adopted the supine position during surgery, and those in the observation group adopted the improved position. The primary outcomes were operation duration, intraoperative blood loss, shadowless lamp adjustment times, and postoperative condition. The comfort level of surgeons and satisfaction degree of patients were evacuated. Results 〓The operation duration, intraoperative blood loss, shadowless lamp adjustment times were lower in the improved groupthan those of the traditional group(［92.5±8.1］min vs.［110.7±15.9］min, ［74.4±6.8］ mL vs.［85.2±5.6］ mL,［6.7±1.4］ times vs.［8.1±2.3］ times, P<0.05). There were fewer patients with skin flushing or hyperabductedupper limb(>90°)in the improved groupthan that of the traditional group(2 cases vs. 13 cases, 0 vs. 9 cases, P<0.05). The comfort level of surgeons and satisfaction degree of patients were higher in the improved groupthan those of the traditional group(97.5% vs 75.0%, 95.0% vs 70.0%, P<0.05). Conclusion 〓Improved surgical position can bring benefits not only to surgeons, but also patients in modified radical mastectomy for breast cancer.

【 授权许可】

CC BY-NC