文武八段锦锻炼法在乳腺癌患者术后康复中的应用效果  

Application of standing-sitting Baduanjin exercise in postoperative rehabilitation of breast cancer patients

作　　者：何桂娟[1] 金瑛[2] 章国英[3] 苏琴[4] 方华瑾[5] 马红梅[5] 俞梦盈 

机构地区：[1]浙江中医药大学护理学院,杭州310053 [2]浙江中医药大学附属第二医院护理部,杭州310005 [3]浙江中医药大学附属第二医院神经内科,杭州310005 [4]浙江中医药大学附属第二医院肿瘤外科,杭州310005 [5]浙江中医药大学附属第二医院乳腺外科,杭州310005

出　　处：《中华现代护理杂志》2016年第28期4047-4050,共4页Chinese Journal of Modern Nursing

基　　金：浙江省中医药科技计划项目（2013ZA062）

摘　　要：目的：探讨文武八段锦锻炼法对乳腺癌术后患者康复效果。方法选择乳腺癌术后患者70例,随机分为实验组和对照组,每组35例。对照组采用术后常规护理,实验组在此基础上实施分阶段适宜性文武八段锦锻炼法。采用简短疲乏量表（ BFI）和患侧肢体功能评估方法,比较两组患者疲乏和患肢功能恢复情况。结果实验组术后1个月BFI总疲乏评分（3.29±0.42）分、3个月时（3.28±0.45）分,均优于对照组,差异有统计学意义（ t值分别为－4.007,－3.996；P〈0.01）。术后1个月实验组患侧肢体功能完全恢复患者为96.8％,对照组为75.8％；术后3个月时两组患侧肢体功能完全恢复患者分别为100.0％和81.8％；两组比较差异有统计学意义（χ^2值分别为4.233,4.264；P〈0.05）。结论分阶段适宜性文武八段锦锻炼法可减轻乳腺癌术后疲乏症状,延缓化疗期间症状加重。Objective To explore the effect of standing-sitting Baduanjin exercise in postoperative rehabilitation of breast cancer patients. Methods Totally 70 cases of patients with breast cancer postoperation were randomly assigned to the control group and the experimental group. Patients in the control group received routine postoperative nursing, while patients in the experimental group adopted standing-sitting Baduanjin exercise. Fatigue condition and functional recovery of ill limb were compared through evaluation by BFI and functional assessment of ill limb.Results The total BFI score of fatigue in the experimental group was （3.29± 0.42） points 1 month after operation, and was （3.28±0.45） points 3 months after operation. They were all superior than the score of control group （t=-4.007,-3.996;P〈0.01）. Limb function of 96.8% patients were completely recovered in the experimental group 1 month after operation, while just 75.8% patients in the control group. 3 months after operation, 100% patients were completely recovered in the experimental group, and in the control group, it was 81.8% （χ^2=4.233,4.264;P〈0.05）.Conclusions Suitability standing-sitting Baduanjin exercise can relieve the fatigue symptom of patients with breast cancer postoperation, and delay the aggravation of symptoms during chemotherapy.

关 键 词：乳腺肿瘤 康复 癌因性疲乏 文武八段锦锻炼法 

分 类 号：R248.9[医药卫生—中医临床基础]