乳腺癌术后康复操的临床应用研究  

Clinical Application of rehabilitation exercise after breast cancer operation

作　　者：陈锦坚[1] 罗爱萍[1] 何颜英[1] 邓顺华[1] 李春梅[1] 刘莉萍[1] 张清[1] 

机构地区：[1]肇庆市第一人民医院普外科,526021

出　　处：《国际医药卫生导报》2011年第2期138-142,共5页International Medicine and Health Guidance News

基　　金：肇庆市科技创新计划项目（2009E2716）

摘　　要：目的 探讨乳腺癌术后康复操的临床应用研究.方法 将120例乳腺癌患者随机分为康复组60例和对照组60例.康复组根据患者的手术方式、手术创面大小实施乳腺癌术后康复操进行功能训炼;该康复操功能训炼共4个阶段,第1阶段主要锻炼手、腕部、肘关节及头部的功能训炼;第2阶段、第3阶段主要为肩关节的训炼;第4阶段主要为手指爬墙运动及继续肩关节的训炼.对照组予常规康复护理.于术后12d及出院前,测量患肢肩部功能恢复情况及观察两组住院天数、费用及满意度.结果 乳腺癌术后康复操能有效改进患者术后患肢的外展为（94.3±3.5）度、前屈（97.8±1.3）度、后伸（36.1±2.2）度、手指爬墙高度为（14.9.±3.5）cm,以及患肢功能恢复情况及住院天数、费用及满意度明显优于对照组（P〈0.05）.结论 乳腺癌患者应用乳腺癌术后康复操进行功能训炼,能有效改善患肢功能的恢复,有利于调节患者心理,提高生活质量及满意度,缩短住院时间,减少住院费用.Objective To study the clinical application of rehabilitation exercise after breast cancer. Methods 120 cases of breast cancer patients were randomly divided into rehabilitation group and control group with 60 cases for each group. According to different surgical methods and wound surface size,functional rehabilitation exercise training refining was carried out in rehabilitation group; there are four stages in all for the function of the healing exercise. The first stage is mainly to take exercise with elbow joint and head. The key to the second and the third stages is shoulder joints to train. The main part consists of the fingers climbing the wall and shoulder joints sport going on for the fourth stage. 12 days after surgery and before discharge, the recovery of limb function and shoulder were measured as well as the length of stay, fare and satisfaction, which are obviously better than those in control group. Results Rehabilitation exercise after breast cancer patients can improve limb abduction, flexion, extension, finger climb the wall function,the functional recovery of limb rehabilitation group and the length of stay, fare and satisfaction better than the control group. Conclusion Postoperative functional rehabilitation exercise of training to breast cancer patients can effectively enhance the recovery of limb function, help to balance mental pressure, improve quality of life and satisfaction, shorten the length of hospital stay and reduce hospitalization costs.

关 键 词：康复操 乳腺癌 改良根治术 临床应用 患肢功能 

分 类 号：R473[医药卫生—护理学]