2005年11月第l2卷第l1期南方护理学报NanfangJournalofNursingNovember,2005Vo1.12No.1l6l【药械护理】胶原蛋白海绵在乳腺癌改良根治术中的应用效果观察陈超萍,郑春生(温州市第八人民医院手术室,浙江温州325000)[摘要】目的探讨胶原蛋白海绵在乳腺癌改良根治术中应用的价值。方法将156例乳腺癌患者随机分成两组,对照组术后常规采取加压包扎持续负压引流,实验组则联合使用胶原蛋白海绵,分别观察两组置管时间、皮下积液和皮瓣坏死的发生率。结果实验组的置管13vjrhq(4.8+1.3)d明显短于对照组(6.3+2.7)d,有显著性差异(P<0.01),实验组皮下积液和皮瓣坏死的发生率分别为1.3%和2.6%,明显少于对照组的l0.3%和11.5%,有显著性差异(P<0.05)。结论在乳腺癌改良根治术后引流管持续负压引流联合应用胶原蛋白海绵可缩短置管时间,减少皮下积液和皮瓣坏死的发生率。【关键词】乳腺癌;胶原蛋白海绵;置管时间;皮下积液;皮瓣坏死;护理【中图分类号】R7379【文献标识码】A【文章编号】1008—9969(2005)11-0061—02TheapplicationofcollagenspongeinmodifiederadicativeoperationofbreastcancerCHENChaoping,ZHENGChunsheng(OperationRoom,theEighthPeopleHosphalofWenzhou,Wenzhou325000,China)Abstract:ObjectiveTodiscussthevalueofcollagenspongeusedinthemodifiederadicativeoperationofbreastcancer.MethodsOnehundredandfifty—sixpatientsofbreastcancerwererandomlydividedintotwogroups.Thecontrolgroupintroducedpressuredressingandpersistentnegativepressuredrainage,andtheexperimentalgroupcombinedusingofcollagenspongewithnegativepres—SUredrainage.Theremainingtimeofdrainagetube,incidencesoffluidityunderskinandnecrosisofskinflapwereobserved.Re—suitsTheremainingtimeofdrainagetube(4.8+1.3)dintheexperimentalgroupwasoutstandingshorterthanthecontrolgroup(6.3±2.7)d(P