术前乳头乳晕擦洗对降低乳晕切口假体隆乳术后感染风险的护理分析(1)
[摘要]目的：探讨术前乳头乳晕擦洗护理降低乳晕切口假体隆乳术后感染的效果。方法：选择2016年9月-2017年9月于笔者科室行乳晕切口假体隆乳术就医者101例为研究对象，随机分为对照组50例和研究组51例。对照组实施常规护理，研究组围手术期增加乳头乳晕擦洗护理，评价比较两组就医者护理效果，包括术前乳头乳晕擦拭子细菌培养、术后3个月切口愈合情况。结果：研究组术前乳头乳晕细菌培养结果、术后3个月切口愈合情况及就医者自我评价均明显优于对照组，差异具有统计学意义(P<0.05)。结论：乳晕切口假体隆乳术就医者围手术期增加乳头乳晕擦洗护理可降低术后感染风险、减少术后并发症发生，值得临床推广应用。
[关键词]乳头乳晕；术前护理；乳晕切口；假体隆乳术
[中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2018)04-0128-02
Nursing Analysis of the Efficiency of Reducing the Inflammation Risk in Augmentation Mammaplasty by Scrub of Nipple-areolar Complex
HU Wen-hui，WU Yan-qun，FENG Xue-ling
(Department of Plastic and Cosmetic Surgery，Guangdong Second Provincial General Hospital，Guangzhou 510317，Guangdong，China)
Abstract： Objective To discuss the efficiency of reducing the inflammation risk in augmentation mammaplasty by scrubbing the nipple-areolar complex (NAC) preoperatively. Methods 101 patients that underwent augmentation mammaplasty through periareolar approach in the Plastic and Cosmetic Department of Guangdong Second Provincial General Hospital from September 2016 to September 2017 were included in this study， randomly divided into the control group(50 cases) and the study group(51 cases). Patients in the study group received an extra NAC scrubbing in addition to general perioperative nursery. Bacteria cultures which the sample was taken from NAC and the healing of the incision after 3 months follow-up were evaluated as comparison. Results The results of the bacterial culture of the nipple and areola， the healing of the incision 3 months after the operation and the self evaluation of the doctors in the study group were obviously superior to those of the control group， and the difference were statistically significant(P<0.05). Conclusion NAC scrubbing could reduce the inflammation risk for augmentation mammaplasty through periareolar approach and it should be widely used for preoperative preparation.
Key words： nipple-areolar complex； scrubbing； periareolar approach； augmentation mammaplasty
随着社会经济水平的提升，人民日益增长的生活需求，求美者数量也随之增多。乳房是女性展现曲线美的重要部位，就医者由于先天或后天的各种原因导致的乳房发育不良、萎缩一般可通过假体隆乳术进行矫正[1]。乳头-乳晕复合体作为乳腺系统与外界相通的组织结构，乳头乳晕表皮定植菌在手术中进入术野，可能增加术后感染风险，甚至导致包膜挛缩等严重并发症发生[2]。本文将于本院行乳晕切口假体隆乳术就医者作为研究对象，分析乳头乳晕擦洗护理杀灭皮肤定植菌的效果及对切口愈合情況的影响为乳晕切口假体隆乳术后感染发病率的降低提供理论依据。
1 资料和方法
1.1 一般资料：将2016年9月-2017年9月于本院行乳晕切口假体隆乳术就医者101例作为研究对象，年龄19～62岁，平均(31.2±3.7)岁。随机分为对照组50例和研究组51例，两组患者均无乳头感染史、均不在哺乳期。本研究中均对就医者进行了告知，并签署了知情同意书。将上述一般资料进行统计学比较，差异均无统计学意义(P>0.05)。, http://www.100md.com(胡文辉 伍艳群 冯雪玲)
[关键词]乳头乳晕；术前护理；乳晕切口；假体隆乳术
[中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2018)04-0128-02
Nursing Analysis of the Efficiency of Reducing the Inflammation Risk in Augmentation Mammaplasty by Scrub of Nipple-areolar Complex
HU Wen-hui，WU Yan-qun，FENG Xue-ling
(Department of Plastic and Cosmetic Surgery，Guangdong Second Provincial General Hospital，Guangzhou 510317，Guangdong，China)
Abstract： Objective To discuss the efficiency of reducing the inflammation risk in augmentation mammaplasty by scrubbing the nipple-areolar complex (NAC) preoperatively. Methods 101 patients that underwent augmentation mammaplasty through periareolar approach in the Plastic and Cosmetic Department of Guangdong Second Provincial General Hospital from September 2016 to September 2017 were included in this study， randomly divided into the control group(50 cases) and the study group(51 cases). Patients in the study group received an extra NAC scrubbing in addition to general perioperative nursery. Bacteria cultures which the sample was taken from NAC and the healing of the incision after 3 months follow-up were evaluated as comparison. Results The results of the bacterial culture of the nipple and areola， the healing of the incision 3 months after the operation and the self evaluation of the doctors in the study group were obviously superior to those of the control group， and the difference were statistically significant(P<0.05). Conclusion NAC scrubbing could reduce the inflammation risk for augmentation mammaplasty through periareolar approach and it should be widely used for preoperative preparation.
Key words： nipple-areolar complex； scrubbing； periareolar approach； augmentation mammaplasty
随着社会经济水平的提升，人民日益增长的生活需求，求美者数量也随之增多。乳房是女性展现曲线美的重要部位，就医者由于先天或后天的各种原因导致的乳房发育不良、萎缩一般可通过假体隆乳术进行矫正[1]。乳头-乳晕复合体作为乳腺系统与外界相通的组织结构，乳头乳晕表皮定植菌在手术中进入术野，可能增加术后感染风险，甚至导致包膜挛缩等严重并发症发生[2]。本文将于本院行乳晕切口假体隆乳术就医者作为研究对象，分析乳头乳晕擦洗护理杀灭皮肤定植菌的效果及对切口愈合情況的影响为乳晕切口假体隆乳术后感染发病率的降低提供理论依据。
1 资料和方法
1.1 一般资料：将2016年9月-2017年9月于本院行乳晕切口假体隆乳术就医者101例作为研究对象，年龄19～62岁，平均(31.2±3.7)岁。随机分为对照组50例和研究组51例，两组患者均无乳头感染史、均不在哺乳期。本研究中均对就医者进行了告知，并签署了知情同意书。将上述一般资料进行统计学比较，差异均无统计学意义(P>0.05)。, http://www.100md.com(胡文辉 伍艳群 冯雪玲)