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目的比较乳腺癌改良根治术后患者采用三角巾悬吊患侧手臂的舒适度变化。方法选择意识清楚、能有效沟通、无肢体瘫痪、无骨折的74例乳腺癌改良根治术后患者,随机分为试验组和对照组,试验组术后1～7d坐位以及下床活动时采用三角巾悬吊患侧手臂,对照组按传统法,不使用三角巾悬吊手臂,观察并比较两组患者伤口疼痛、并发症的发生情况和焦虑程度、上肢沉重麻木感,肩背部麻痹感的变化。结果两组患者伤口疼痛情况,出现头晕、患侧上肢肿胀、皮瓣积液、皮瓣坏死例数无明显差异(P>0.05);试验组焦虑程度、上肢沉重麻木感,肩背部麻痹感明显轻于对照组(P<0.01)。结论乳腺癌改良根治术后1～7d采用三角巾悬吊患侧手臂可以提高患者的舒适度,未发现增加患者不适及其它并发症,值得推广。
Objective To compare the changes of the comfort degree of the affected side arm with a triangle scar after modified radical mastectomy for breast cancer. Methods Seventy-four patients with modified radical mastectomy who were conscious, able to communicate effectively, without limb paralysis, and without fracture were randomly divided into test group and control group. The patients in test group were seated 1 ~ 7d after operation and got out of bed. According to the traditional method, the control arm was not suspended with a trivet to observe the changes of wound pain, the incidence of complications and anxiety, the numbness of upper limbs, and the paralysis of shoulder and back. Results There was no significant difference between the two groups in terms of the degree of anxiety, the degree of anxiety in the test group, the numbness in the upper limbs, and the paralysis of the shoulder and back in patients with dizziness, swelling of the upper limbs, effusion of the flaps and the number of necrosis of the flaps (P> 0.05) Lighter than the control group (P <0.01). Conclusions Atrial fibrillation can improve the comfort of the patients by using a triangle scarf to hang the affected side of the arm 1 ~ 7 days after modified radical mastectomy. It is worth popularizing that it does not find any increase of patients’ discomfort and other complications.