不同护理方法在乳腺癌患者手足综合征及淋巴水肿中的应用价值  

Effect of different nursing strategies on hand-foot syndrome and lymphedema in patients with breast cancer

作　　者：王红[1] 窦云爱[2] 林明臻[3] WANG Hong1, DOU Yun-ai2, LIN Ming-zhen3(1. Department of Neonatology ; 2. Department of General Surgery, Linqu County People＇s Hospital, Weifang 262600, China; 3. Department of Breast Surgery, Weifang People＇s Hospital, Weifang 261041, Chin)

机构地区：[1]山东省潍坊市临朐县人民医院新生儿科,潍坊262600 [2]山东省潍坊市临朐县人民医院普外科,潍坊262600 [3]潍坊市人民医院乳腺外科,潍坊261041

出　　处：《中国肿瘤临床与康复》2018年第3期381-384,共4页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：山东省自然科学基金资助项目(NO2014GS286)

摘　　要：目的探讨不同护理方法对乳腺癌患者手足综合征和淋巴水肿的影响。方法选取2014年1月至2017年1月间潍坊市临朐县人民医院收治的120例乳腺癌患者,采用随机数表法分为A、B和C三组,每组40例。A组为对照组,患者采用常规护理,B组患者在常规护理基础上给予按摩护理;C组患者在常规护理和按摩基础上给予空气波压力治疗。比较三组患者护理前(术后3d)和护理30d后上肢水肿、上肢功能及手足综合征发病情况。结果 C组患者上肢水肿发生率为12.5%,低于B组患者的35.0%和A组患者的57.5%,差异均有统计学意义(均P<0.05)。C组患者患肢上举、外展及旋转功能优良率均高于A组和B组患者,且A组患者最低,差异均有统计学意义(均P>0.05)。C组患者手足综合征Ⅰ级、Ⅱ级及Ⅲ级发病率分别为90.0%、10.0%和0.0%,B组患者分别为75.0%、22.5%和2.5%,A组患者分别为65.0%、30.0%和5.0%,差异均有统计学意义(均P<0.05)。结论在常规护理基础上结合淋巴部位按摩和空气波压力仪的护理干预法,可减少乳腺癌术后患者的上肢淋巴水肿及手足综合征,促进治疗效果,提高术后生活质量。Objective To explore the effect of different nursing strategies on hand-foot syndrome and lymphedema in patients with breast cancer. Methods A total of 120 women with breast cancer who were treated at Linqu County People＇s Hospital from January 2014 and January 2017 were selected. They were divided into group A,group B and group C according to the random number table method with 40 patients in each group. Group A was the control group and received routine care. Group B was given massage care on a regular basis. Group C was treated with air wave pressure besides routine care and massage care.Before the nursing care（3 d after the surgery） and at 30 d after the nursing care,the incidence of upper limb edema,function of upper limb and the incidence of hand foot syndrome were compared between the two groups. Results The incidence of upper limb edema in the group C was 12. 5%,which was lower than group B（35. 0%） and group A（57. 5%）（all P〈0. 05）. The excellent rate of lifting,abduction and rotation of the affected limb was better in group C than in group A and group B（for group B）. The incidence grades Ⅰ,Ⅱ and Ⅲ hand foot syndrome was 90. 0%,10. 0% and 0. 0% for group C,75. 0%,22. 5% and2. 5% for group B and 65. 0%,30. 0% and 5. 0% for group A（all P〈0. 05）. Conclusion Conventional nursing strategies combined with lymphatic massage and air wave pressure as nursing intervention can reduce the incidence of upper-limb lymphedema and hand-foot syndrome,promote the efficacy and improve the quality of life in patients with breast cancer after the surgery.

关 键 词：乳腺肿瘤 手足综合征 淋巴水肿 护理方法 

分 类 号：R737.9[医药卫生—肿瘤]