摘要
目的探讨硅胶假体隆乳术后早期下床活动对患者舒适度的影响。方法 2019年5月至2020年8月, 在广东省第二人民医院整形美容科行硅胶假体隆乳术术后女性患者84例, 年龄20~37(28.34±6.27)岁。用随机数字表法分为常规组和观察组各42例。常规组术后24 h下床活动, 观察组术后6 h下床活动, 比较两组术后24 h患者胸部引流管拔除时间、舒适度、硅胶假体移位、切口渗血发生情况。结果观察组胸部引流管拔除时间(82.64±11.78) h短于常规组(90.67±12.44) h, 差异有统计学意义(t=5.37, P<0.01);术后6、24 h舒适度评分观察组分别为(95.07±4.14)、(97.52±4.07)分, 常规组分别为(91.14±4.03)、(94.19±3.93)分, 两组比较差异有统计学意义(t=4.41、3.83, 均P<0.01);术后7 d, 观察组硅胶假体移位2例(4.76%);常规组硅胶假体移位2例(4.76%);观察组出现切口渗血6例(14.29%);常规组出现切口渗血5例(11.90%), 两组硅胶假体移位发生率和切口渗血发生率比较, 差异无统计学意义(χ^(2)=0.21、0.10, 均P>0.05)。结论硅胶假体隆乳术后6 h下床活动有助于提高患者舒适度, 缩短胸部引流管拔除时间, 且不增加患者硅胶假体移位、切口渗血的发生率。
Objective To explore the effect of getting out of bed activity 6 hours after silicone breast augmentation surgery on the comfort of patients.Methods From May 2019 to August 2020,84 female patients aged 20-37(28.34±6.27)years who underwent silicone breast augmentation surgery at the Department of Plastic Surgery and Cosmetology at the Second People's Hospital of Guangdong Province were randomly divided into a control group and an observation group,with 42 patients in each group,using a random number table method.The control group got out of bed 24 hours after surgery,while the observation group got out of bed 6 hours after surgery.The chest drainage and fixation patency,comfort,silicone prosthesis displacement,and incision bleeding rate between the two groups of patients were compared 24 hours after surgery.Results The extraction time of the thoracic drainage tube in the observation group was(82.64±11.78 hours),which was shorter than that in the control group(90.67±12.44 hours),and the difference was statistically significant(t=5.369,P<0.01).The comfort scores of the observation group patients at 6 hours after surgery(95.07±4.14)and 24 hours after surgery(97.52±4.07)were higher than those of the control group at 6 hours(91.14±4.03)and 24 hours(94.19±3.93),and the difference was statistically significant(t=4.413,3.832,both P<0.01);7 days after surgery,there were 2 cases of silicone prosthesis displacement in the observation group,with an incidence rate of 4.76%(2/42);there were 2 cases of silicone prosthesis displacement in the control group,with an incidence rate of 4.76%(2/42);there were 6 cases of incision bleeding,with an incidence rate of 14.29%(6/42);there were 5 cases of incision bleeding in the control group,with an incidence rate of 11.90%(5/42).There was no statistically significant difference in the incidence of silicone implant displacement and incision bleeding between the two groups(χ^(2)=0.21,0.10,P>0.05).Conclusions Getting out of bed and moving around 6 hours after silicone breast augmentat
作者
李友瑾
蓝建珍
潘小欢
施李英
胡汝尘
伍艳群
Li Youjin;Lan Jianzhen;Pan Xiaohuan;Shi liying;Hu Ruchen;Wu Yanqun(Department of Plastic Surgery and Cosmetology,Guangdong Second People's Hospital,Guangzhou 510317,China)
出处
《中华医学美学美容杂志》
2024年第4期336-338,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
隆乳术
硅胶假体
早期下床
并发症
舒适度
Augmentation mammoplasty
Siliconeprosthesis
Early mobilization
Complication
Comfort level
