郑威 刘井艳 张卓 丁秀荣

[摘要] 目的 分析乳腺癌合并糖尿病的患者术后出现皮下积液的风险因素，探讨其护理措施。方法 对2015年1—12月间在该院进行手术治疗的396例乳腺癌患者根据是否合并糖尿病将其分为糖尿病组97例与非糖尿病组299例，对比两组患者皮下积液的发生率，总结患者出现皮下积液的原因，探讨其护理措施以及预防措施。结果 糖尿病组患者皮下积液的发生率为34.02%，明显高于非糖尿病组的7.02%。结论 糖尿病患者伤口愈合较慢，术后发生感染的几率高，乳腺癌术后皮下积液的发生率较高，监测患者的血糖水平并及时进行调整可以促进患者的预后。

[关键词] 乳腺癌；糖尿病；皮下积液；护理

[中图分类号] R473.7 [文献标识码] A [文章编号] 1672-4062（2016）03（a）-0163-02

Breast Cancer Patients with Diabetes Mellitus Risk Factors and Nursing Care of Postoperative Subcutaneous Effusion in the Multiple-choice

ZHENG Wei，LIU Jing-yan，ZHANG Zhuo，DING Xiu-rong

Tumor Hospital of Jilin Province，Changchun，Jilin Province， 130012 China

[Abstract] Objective To analyze postoperative breast cancer patients with diabetes mellitus in subcutaneous effusion of risk factors， to explore the nursing measures. Methods On January， 2015 to 2015 on December in our hospital for surgical treatment of 396 cases of patients with breast cancer， according to whether the diabetes mellitus divided into group， 97 cases of diabetes and non-diabetic group 299 examples， compared two groups of patients the incidence of subcutaneous effusion， sum up the cause of the patients with subcutaneous effusion， explore the nursing measures and preventive measures. Results Incidence of subcutaneous effusion in patients with diabetes mellitus group was 34.02%， significantly higher than the 7.02% of diabetes groups. Conclusion Diabetic wound healing slowly， the higher the chance of infection， the incidence of subcutaneous fluid after breast cancer is higher， and structure were adjusted timely by means of monitoring the patient's blood sugar level and can promote the prognosis of patients.

[Key words] Breast cancer； Diabetes； Subcutaneous effusion；Nursing

皮下积液是乳腺癌术后常见的并发症，会导致患者的手术切口经久不愈，增加患者感染的风险，延长患者的住院时间，影响患者的身体健康的同时也增加了患者的经济负担，患者住院时间的延长也会对患者的心理造成严重的影响，不利于患者的预后。合并糖尿病的乳腺癌患者由于受到糖尿病的影响，患者感染的并发率有所增加，同时，在糖尿病的影响下，患者的血液循环功能也出现一定的障碍，患者患肢的血液回流也会较未合并糖尿病的患者缓慢，这也是合并糖尿病的乳腺癌患者并发皮下积液的几率增加的原因之一，除此之外，合并糖尿病的乳腺癌患者术后并发皮下积液还有其他风险因素，现报道如下。……