摘要
目的研究小切口乳腺癌改良根治术患者围术期的创伤应激程度。方法选取行小切口乳腺癌改良根治术治疗的60例患者为观察组,同时期进行常规切口根治手术治疗的60例患者为对照组。检测两组患者围术期的血清应激激素与炎性应激指标。结果术前两组患者的血清应激激素与炎性应激指标比较,差异无统计学意义(P>0.05),术后1 d、3 d及5 d两组的上述血清指标呈现先升后降,且观察组的检测结果均显著低于对照组,差异有统计学意义(P<0.05)。结论小切口乳腺癌改良根治术患者围术期的创伤应激程度相对小于常规切口手术患者,因此认为小切口手术更有助于患者的损伤控制与术后恢复。
Objective To study the traumatic stress degree of patients with radical mastectomy for breast cancer with small incision during the perioperative period.Methods 60 patients with radical mastectomy for breast cancer with small incision were selected as the observation group,60 patients with radical mastectomy with routine incision at the same time were selected as the control group.Then the serum stress hormones and inflammatory stress indexes of the 2 groups during the perioperative period were compared.Results The serum stress hormones and inflammatory stress indexes of the 2 groups before the operation were compared,the differences were not statistically significant(P>0.05),those serum indexes of the 2 groups at 1st,3rd and 5th day after the operation increased at first and decreased afterwards,and the detection results of the observation group were significantly lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion The traumatic stress degree of patients with radical mastectomy for breast cancer with small incision during the perioperative period are smaller than those patients with routine incision,so the small incision operation is more helpful for the control of trauma and postoperative recovery of patients.
作者
王利
易艳群
汪领
WANG Li;YI Yanqun;WANG Ling(Henan Chest Hospital,Zhengzhou,450000)
出处
《实用癌症杂志》
2020年第3期498-501,共4页
The Practical Journal of Cancer
关键词
小切口乳腺癌改良根治术
围术期
创伤应激程度
Radical mastectomy for breast cancer with small incision
Perioperative period
Traumatic stress degree
