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《Journal of Baotou Medical College》 2018-09
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Application of wet healing theory in postoperative wound healing delayed in patients with breast cancer

LIU Jingjing;CHEN Min;ZHU Yingying;The First Affiliated Hospital of Bengbu Medical College;  
Objective: To investigate whether nursing intervention in patients with postoperative skin flap necrosis of breast cancer can accelerate the repair of necrotic skin flap in order to provide a reference for the treatment of necrotic skin flap in patients with postoperative skin flap necrosis. Methods: The clinical data of patients with postoperative skin flap necrosis of breast cancer from January 2017 to December 2017 were selected. The patients were divided into observation group( 48 cases) and control group( 42 cases) according to the post-treatment of patients with skin flap necrosis,the necrotic flap in the observation group was given wet environment treatment,and the control group was treated according to the conventional dressing method. The healing rate of the two groups of skin flap necrosis for two weeks was analyzed and compared. The visual analogue scale was used to evaluate the pain of the two groups before treatment,one week after treatment and two weeks after treatment. The peripheral blood CRP,leukocyte/monocyte ratio and skin flap healing in both groups were compared before treatment,one week and 2 weeks after treatment; the two groups were compared for the treatment of comfort. Results: There was no significant difference in VAS score between the two groups before treatment( P 0. 05). After treatment for 1 week and 2 weeks,the VAS scores of the observation group were lower than those of the control group,with significant difference( P 0. 05). The CRP and leukocyte/monocyte ratio in the two groups before treatment had no significant difference( P 0. 05). The CRP and leukocyte/monocyte ratio in the observation group were significantly lower than those in the control group at 1 week and 2 weeks,the difference statistically significant( P 0.01). There was no significant difference in the necrosis area between the two groups before treatment( P 0. 05). The necrosis area of flap in the observation group was lower than that in the control group within 2 weeks after treatment,with significant difference( P 0. 01). The healing rate in observation group was higher than that in control group( 41/48,85. 4 % vs 27/42,64. 3 %,χ~2= 5. 416,P = 0. 020). The difference was statistically significant. The satisfaction rate of the observation group after 2 weeks of treatment was higher than that of control group,and the difference was statistically significant. Conclusion: In the treatment of postoperative flap necrosis of breast cancer,the application of the theory of wet healing can effectively prevent and treat the necrosis of the skin flap,and the patients are more receptive. It is preferentially used in the treatment of skin flap necrosis.
【CateGory Index】: R473.73
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