乳腺癌改良根治乳房重建术后患者上肢功能锻炼的效果观察  

Observation of Effect of Upper Limbs Functional Training after Breast Cancer Radical Surgery and Breast Reconstruction

作　　者：陈映雪 

机构地区：[1]南平市第一医院外二科,福建南平353000

出　　处：《护理学报》2010年第2期49-50,共2页Journal of Nursing（China）

摘　　要：目的探讨乳腺癌改良根治术加即刻背阔肌肌皮瓣乳房重建术后患者采用拉力器及哑铃进行患侧上肢后伸、旋内、内收功能锻炼的效果。方法将60例乳腺癌改良根治术加即刻背阔肌肌皮瓣乳房重建术后患者随机分为观察组和对照组各30例,对照组按乳腺癌手术护理常规进行功能锻炼,由护士向患者一对一讲解并示范渐进式患侧功能锻炼的方法,并在家属协助下由患者自行锻炼;观察组在对照组的基础上针对丧失的背阔肌功能采用拉力器及哑铃进行更为系统的患侧内收、后伸、旋内运动锻炼。于术后第30天、第60天时观察比较两组后伸、旋内角度及内收肌力。结果两组患者术后第30天、第60天患侧上肢运动功能情况比较,差异有统计学意义(P<0.01),观察组后伸、旋内角度及内收肌力均大于对照组。结论针对丧失的背阔肌功能采用拉力器及哑铃进行系统的患侧内收、后伸、旋内运动有利于乳腺癌改良根治乳房重建术后患者患侧背阔肌功能恢复。Objective To explore the effect of upper limbs functional training after breast cancer radical surgery and breast reconstruction.Methods 60 cases undergoing breast cancer radical surgery and breast reconstruction with immediate latissimus dorsi myocutaneous flap were randomly divided into the observation group and the control group.The control group were offered the explanation on conventional functional training and performed the training by themselves,while the observation group,on the basis of the conven...

关 键 词：乳腺癌 改良根治术 即刻背阔肌肌皮瓣乳房重建术 功能锻炼 

分 类 号：R473.73[医药卫生—护理学]