Objective To study the clinical treatment effect of intraoperative perfusion of Panax notoginseng saponins on the postoperative mammary gland hematoma and skin ecchymosis. Methods A total of 100 patients who underwent breast minimally invasive surgery from August 2015 to May 2016 in Wenling First People's Hospital were randomly divided into control group and experimental group 50 cases in each group.The control group underwent intraoperative perfusion of Panax notoginseng saponin,on the basis of this, the experimental group were given psychological intervention, pay attention to the psychological state of the patients, strengthen the communication and exchanges with the patients, increased the patient's treatment confidence and treatment compliance. The clinical indicators of the experimental group and the control group were compared. Results After the corresponding treatment, the incidence of postoperative hematoma in the experimental group (4.0%) was significantly lower than in the control group (12.0%), the difference was statistically significant (P<0.05). The probability of skin staining in control group (26.0%) was significantly higher than that in the experimental group (8.0%), the difference was statistically significant (P<0.05). Conclusion Breast minimally invasive biopsy perioperative psychological intervention, intraoperative perfusion of panax notoginseng saponins can reduce the incidence of postoperative mammary gland hematoma, skin ecchymosis.%目的 分析围术期心理干预联合术中灌注三七总皂苷对乳腺微创旋切术患者乳腺血肿和皮肤瘀斑的临床效果.方法 选取温岭市第一人民医院2015年8月~2016年5月收治的100例因乳腺肿物需进行乳腺微创旋切术的患者为研究对象,随机分为对照组和实验组,每组50例.对照组患者进行术中灌注三七总皂苷,实验组患者在此基础上给予心理干预,关注患者的心理状态,加强与患者的沟通和交流,增加患者的治疗信心和治疗依从性.比较分析实验组与对照组患者的相关临床指标.结果 经过对应的治疗后,实验组患者术后血肿发生概率(4.0%)显著低于对照组(12.0%),差异有统计学意义(P<0.05).对照组皮肤瘀斑的概率(26.0%)显著高于实验组(8.0%),差异有统计学意义(P<0.05).结论 乳腺微创旋切术围术期心理干预联合术中灌注三七总皂苷能够降低患者术后乳腺血肿、皮肤瘀斑的发生率.
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