[摘 要]目的 研究对乳腺癌保乳根治术后行腹部游离脂肪瓣乳房填充术患者实施综合护理的效果及对乳房美观性的影响。方法 选取2020年9月-2023年7月于东明县人民医院行乳腺癌保乳根治术后需接受腹部游离脂肪瓣乳房填充术治疗的74例患者为研究对象，随机分为对照组和试验组，每组37例。对照组给予常规护理，试验组给予综合护理，比较两组并发症发生情况、不良情绪、疼痛程度、乳房美观性及护理满意度。结果 试验组并发症发生率为8.11%，低于对照组的27.03%(P<0.05)；试验组护理后HAMA评分、HAMD评分低于对照组(P<0.05)；试验组VAS评分低于对照组，乳房美观性评分及护理满意评分高于对照组(P<0.05)。结论 综合护理在乳腺癌保乳根治术后腹部游离脂肪瓣乳房填充术患者中的应用效果确切，可有效预防术后并发症，能够减轻患者的不良情绪及疼痛程度，有利于提高乳房美观性，且护理满意度较高。

    [关键词] 腹部游离脂肪瓣乳房填充术；乳腺癌保乳根治术；综合护理；乳房美观度

    [中图分类号] R473 [文献标识码] A [文章编号] 1004-4949(2024)22-0187-04

    Effect of Comprehensive Nursing on Breast Aesthetics in Breast Cancer Patients Undergoing Breast Filling with Autologous Free Dermal Fat Graft After Radical Mastectomy

    WU Yanmin

    (The First Department of General Surgery， Dongming County People’s Hospital， Heze 274500， Shandong， China)

    [Abstract]Objective To study the effect of comprehensive nursing on patients undergoing breast filling with autologous free dermal fat graft after radical mastectomy and its influence on breast aesthetics. Methods From September 2020 to July 2023， 74 patients who needed to receive breast filling with abdominal free dermal fat flap after radical mastectomy for breast cancer in Dongming County People’s Hospital were randomly divided into control group and experimental group ......