摘要
目的 探究水胶体敷料应用于乳腺癌术后切口的效果。方法 回顾选取江门市中心医院甲乳外科2017年6月至2018年6月收治单侧乳腺癌患者100例,随机分为试验组和对照组,每组各50例。试验组患者术后切口换药后用水胶体敷料覆盖切口,对照组患者术后切口换药后采用传统纱布覆盖切口。结果 试验相较于对照组患者切口愈合时间明显缩短、换药次数明显减少、切口瘢痕增生发生率明显降低、疼痛评分明显降低、焦虑自评量表(self-rating anxiety scale,SAS) 评分明显降低、患者满意度评分明显提高,组间数据差异具有统计学意义(P<0.05)。结论 水胶体敷料能有效促进乳腺癌手术切口的愈合,减少换药次数,明显减少术后切口瘢痕的增生,减轻患者换药时疼痛,降低患者SAS评分,提高患者满意度,值得临床推广应用。
Objective To study the effect of hydrocolloid dressing after breast surgery operation.Methods A total of 100 patients with unilateral breast cancer from June 2017 to June 2018 were randomly divided into experimental group and control group,each with 50 cases.In the experimental group,the incision was covered with hydrocolloid dressing after dressing change,while in the control group,the incision was covered with traditional gauze after dressing change.Results Compared with the control group,the time of incision healing in the experimental group was significantly shortened,the frequency of dressing change was significantly reduced,the incidence of scar hyperplasia in the incision was significantly reduced,the pain score was significantly reduced,the SAS score was significantly reduced,and the patient satisfaction score was significantly improved.There was statistical difference between the two groups (P<0.05).Conclusion Kanghuier hydrocolloid dressing can effectively promote the healing of the surgical incision of breast cancer;reduce the frequency of dressing change;significantly reduce the postoperative scar hyperplasia;reduce the pain of patients during dressing change;reduce the SAS score of patients;improve the satisfaction of patients;it is worthy of clinical application.
作者
郑敏娟
王燕
Zheng Minjuan;Wang Yan(Jiangmen College of traditional Chinese medicine,Jingmen,Guangdong,529000;Department of Thyroid and Breast Surgery,Jiangmen Central Hospital,Jiangmen,Guangdong,529000)
出处
《临床普外科电子杂志》
2020年第2期21-24,共4页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
乳腺癌术后
切口
水胶体敷料
Postoperative breast cancer
Incision
Hydrocolloid dressing
