孙海玲

[摘要] 目的 探讨分析乳腺癌合并高血压糖尿病患者术后皮下积液症状的预防和护理方式。 方法 根据2014年3月—2015年6月的乳腺癌合并高血压患者100例进行研究分析，将患者进行分组，每日血糖浓度超过11.1 mmol/L的作为对照组，低于11.1 mmoL/L的患者作为观察组，对两组患者术后皮下积液的情况进行观察分析。 结果 比较了观察组和对照组患者的皮下积液情况，两组的皮下积液数量和比率差异有统计学意义。实验组患者的积液情况比对照组优秀，结果差异有统计学意义。 结论 乳腺癌合并高血压糖尿病患者临床中需要接受有效的血压控制，使用双根引流管连接负压引流器，可以让患者术后不会出现皮下积液的情况，对患者的康复具有非常大的帮助，临床中应该积极的进行推广使用。

[关键词] 合并高血压糖尿病；乳腺癌；根治术；皮下积液；护理效果

[中图分类号] R473.6 [文献标识码] A [文章编号] 1672-4062（2018）01（b）-0114-02

Study on Clinical Nursing Measures of Seroma after the Breast Cancer， Hypertension and Diabetes Surgery

SUN Hai-ling

ICU， Daqing Fourth Hospital， Daqing， Heilongjiang Province， 163712 China

[Abstract] Objective To study and analyze the prevention and nursing method of seroma after the breast cancer， hypertension and diabetes surgery. Methods 100 cases of patients with breast cancer and hypertension admitted and treated in our hospital from March 2014 to June 2015 were selected and divided into two groups， including the control group whose blood glucose concentration was more than 11.1 mmol/L every day， and the observation group whose blood glucose concentration was less than 11.1 mmoL/L every day， and the seroma was compared between the two groups. Results The differences in the seroma number and ratio between the two groups were statistically significant， and the seroma situation in the experimental group was better than that in the control group， and the difference was statistically significant. Conclusion The effective blood pressure control in patients with breast cancer， hypertension and diabetes by using the double root drainage tube to connect the negative pressure drainage apparatus can make patients without seroma， which is of great help to the recovery of patients， and it is worth promotion and application in clinic.

[Key words] Combined with hypertension and diabetes； Breast cancer； Radical surgery； Seroma； Nursing effect

女性惡性肿瘤疾病中，乳腺癌是非常多见的疾病，该疾病的发病率很高，对女性的健康产生了非常大的危害[1]。术后的诸多并发症让患者出现皮下积液的几率上升。因此患者创面感染，皮瓣坏死。临床一直都在探索如何控制患者术后的血糖水平和改善皮下积液情况。手术给患者提供腋窝和胸骨负压引流，能够让皮下积液情况得到较大的改善，引流较为充分。并且维持主动负压吸引客源让创伤坏死范围缩小，让患者的手术创面不会再出现渗血和积液的情况，患者的皮瓣以及胸壁贴合更加完好，对盲区消除有非常大的帮助，能够尽量的防治逆行感染和皮下积液。……