目的:观察自制单侧乳腺肩部制动带在乳腺癌根治术后的临床应用与效果。方法:选择2021年4月至11月在本院接受单侧乳腺癌根治术患者70例作为对照组,给予常规乳腺压力绷带包扎+传统方法治疗;将2021年12月至2022年7月在本院行单侧乳腺癌根治术患者70例作为观察组,采用乳腺压力绷带包扎+自制单侧乳腺肩部制动带治疗。比较两组治疗后不同时间的引流量、视觉模拟疼痛和舒适评分及并发症发生情况,术后7 d内肩关节活动范围。结果:观察组术后患肢肩关节活动范围评分明显低于对照组(P＜0.05),术后不同时间点的引流量均明显少于对照组(P＜0.05);观察组的拔管时间、住院时间和愈合时间均明显短于对照组,并发症发生率明显少于对照组(P＜0.05);观察组的术后疼痛评分明显低于对照组,术后舒适评分明显高于对照组(P＜0.05)。结论:将自制单侧乳腺肩部制动带用于接受乳腺癌根治术患者的术后恢复初期过程中,可避免患者出现严重的并发症,缩短住院时间和拔管时间,手术切口愈合较快,有利于患者早期进行患肢康复锻炼,尽快回归正常生活。

Objective: To observe the clinical effect of self-made unilateral breast shoulder brake belt in radical mastectomy for breast cancer. Methods: From April 2021 to November 2021, 70 patients with breast cancer underwent unilateral radical mastectomy in our hospital were selected as the control group. Seventy patients with breast cancer who underwent unilateral radical mastectomy in our hospital from December 2021 to July 2022 were selected as the experimental group. Patients of the control group were taken conventional breast pressure bandage + traditional nursing methods. While breast pressure bandage and self-made unilateral breast shoulder brake belt were used in patients of the experimental group. After treatment, the clinical data of the two groups were collected, the drainage volume and comfort score at different time points, the incidence of complications, and the motion range of shoulder joint within 7 days after surgery were compared between the two groups. Results: The motion range of the experimental group after surgery was significantly lower than that of the control group (P＜0.05). The drainage volume at different time points after surgery in the experimental group was significantly less than that in the control group (P＜0.05). The extubation time, length of hospital stay and healing time of the experimental group were significantly lower than those of the control group, and the incidence of complications of the experimental group was significantly less than that of the control group (P＜0.05). The postoperative pain score of the experimental group was significantly lower than that of the control group, and the postoperative comfort score was significantly higher than that of the control group (P＜ 0.05). Conclusion: Using the self-made unilateral breast shoulder brake belt in the initial recovery process of patients who received radical mastectomy for breast cancer could avoid significant complications in recovery, shorten the length of hospital stay and extubation time of patients, accelerate the recovery of surgical incisions and affected limbs, and help patients return to normal life as soon as possible.