乳腺癌术后放疗患者患侧上肢穴位按揉的效果观察  

Effects of Acupoint Massage on Mobility of Shoulders in Patients with Breast Caner Undergoing Radiotherapy

作　　者：吴慧英[1] 

机构地区：[1]浙江省肿瘤医院,浙江杭州310022

出　　处：《护理学报》2011年第19期65-66,共2页Journal of Nursing（China）

摘　　要：目的 探讨穴位按揉对乳腺癌术后行放射治疗患者患肢功能恢复的效果.方法 将乳腺癌术后行放射治疗的60例患者分为观察组和对照组各30例.对照组实施常规的手功能锻炼,观察组在对照组的基础上立即指导患者在肩髎、中府、曲泽、列缺、内关、少商进行穴位按揉,少商穴指掐1 min,余穴取揉法、一指禅推法,每穴按揉2~5 min,比较治疗3周后两组患侧上肢肩关节活动度.结果 观察组患者患肢肩关节活动度提高,有效率为83%;对照组有效率为60%,两组疗效比较差异有统计学意义（P〈0.05）.结论 在常规肩关节功能锻炼基础上加以穴位按揉,能促进乳腺癌术后放疗患者患肢血液循环,提高患侧上肢肩关节活动度.Objective To explore the effects of acupoint massage on the mobility of shoulders in patients with breast caner undergoing radiotherapy. Methods A total of 60 patients with breast cancer undergoing radiotherapy were randomized into control group with routine rehabilitation exercise and experiment group in which patients received acupoint massage 2-5 min per time for 3 weeks in addition to routine exercise. The ROM of the shoulder was measured 3 weeks later. Results 83% of the patients in experiment group showed improvement in the shoulder mobility, while only 60% did in control group （P〈0.05）. Conclusion Acupoint massage combined with rehabilitation exercise could improve shoulder mobility more effectively in patients with breast caner undergoing radiotherapy than rehabilitation exercise only.

关 键 词：乳腺癌 放疗 穴位按揉 肩关节活动度 

分 类 号：R248[医药卫生—中医临床基础] R473.6[医药卫生—中医学]