自制上肢抬高垫在乳腺癌术后患者中的应用

目的：探讨上肢抬高垫在促进乳腺癌患者术后上肢静脉血液回流的作用，同时提高患者术后上肢放置舒适度，减少并发症。方法将120例乳腺癌术后患者采用随机数字表法分为观察组和对照组，每组各60例。观察组给予抬高垫抬高患侧上肢，对照组给予传统方法抬高患侧上肢。比较两组患者患侧上肢抬高时间、患侧上肢肿胀发生率、切口甲级愈合率及舒适度等情况。结果观察组患者上肢抬高时间大于对照组，差异有统计学意义（χ2＝7．34，P＜0．05）。观察组患者患侧上肢肿胀率为10．0％，低于对照组（40．0％），差异有统计学意义（χ2＝7．20，P＜0．01）。观察组切口甲级愈合率为86．7％，高于对照组（63．3％），差异有统计学意义（χ2＝4．36，P＜0．05）。观察组患者整体舒适度高于对照组，差异有统计学意义（H＝57．75，P＜0．01）。结论上肢抬高垫可有效促进乳腺癌术后患者患侧上肢静脉回流，减少上肢肿胀、皮下积液的发生率，促进切口愈合，且可减轻患者的疼痛程度，提高患者的舒适度。同时促进患者早日康复，缩短住院时间，降低医疗费用，值得在临床中推广应用。

Application of upper limb elevation pad in postoperative patients with breast cancer

Objective To explore the effective method to promote upper extremity venous blood backflow of breast cancer patients , improve postoperative upper limb placed comfort , and reduce the incidence of complications .Methods Totals of 120 breast cancer patients were randomly divided into observation group （n=60） and control group （n=60）.The observation group was given upper limb elevation pad to lift the affected limb, and control group received traditional method of nursing .The lifting time and swelling incidence of the limb, Class-A healing rate of incision , and comfort of two groups were observed .Results Limb lifting time of observation group was significantly longer than that of control group （χ2 =7.34,P〈0.05）.Class-A healing rate of incision in observation group was significantly higher than that in control group （ 86.7% vs 63.3%;χ2 =4.36,P 〈0.05）.Swelling incidence of the limb in observation group was lower than that in control group, and the difference was statistically significant （10.0%vs 40.0%;χ2 =7.20,P〈0.01）.And the total comfort degree of observation group was higher than that of control group （H =57.75,P 〈0.01）. Conclusions Patients with upper limb raised pads can effectively promote venous return , reduce the incidence of limb swelling , subcutaneous effusion , promote the incision healing , and can ease the pain of patients , improve patient comfort.At the same time, it also can promote the patients ’ recover early, shorten hospital stay, reduce medical treatment costs , which is worth popularizing in clinical application .