乳腺癌术后渐进式阻力训练预防上肢淋巴水肿的效果观察  

Effect of progressive resistance training on upper limb lymphedema after breast cancer surgery

作　　者：李嘉宝 杜丽娜[1] 王星力[1] 王岚 Li Jiabao;Du Lina;Wang Xingli;Wang Lan(Department of Oncology, Second affiliated Hospital, Harbin Medical University;The Second Affiliated Hospital, Harbin Medical University, Ha'erbin, 150086, China)

机构地区：[1]哈尔滨医科大学附属第二医院肿瘤内科,黑龙江哈尔滨150086 [2]哈尔滨医科大学附属第二医院肿瘤眼科,黑龙江哈尔滨150086

出　　处：《现代临床护理》2019年第5期34-38,共5页Modern Clinical Nursing

基　　金：黑龙江省卫生及计划生育委员会课题,项目编号为2017-089

摘　　要：目的探讨乳腺癌术后渐进式阻力训练预防上肢淋巴水肿的效果。方法选择2015年1月-2017年1月在本院乳腺外科进行乳腺癌手术的1472例患者,将患者按照入院先后顺序编号,采用随机数字表分为干预组和对照组,每组各736例。对照组患者术后接受常规无阻力训练护理干预,干预组患者在常规护理的基础上实施渐进式阻力训练护理干预。比较两组患者12个月后上肢淋巴水肿发生和上肢功能障碍情况。结果对照组患者上肢淋巴水肿发生情况均高于干预组,干预组患者上肢功能障碍症状发生率明显低于对照组,两组比较,差异具有统计学意义(均P<0.05)。结论乳腺癌患者术后渐进式阻力训练可降低上肢淋巴水肿的发生率,并减少其不良症状,能更好地促进患者上肢功能的恢复。Objective To analyze the effect of progressive resistance training on upper limb lymphedema after breast cancer surgery. Methods From January 2015 to January 2017, 1,472 patients who underwent breast cancer surgery in the department of breast surgery of our hospital were selected for the study. The patients were divided into the intervention group (progressive resistance training) and the control group (routine resistance training) according to the admission order with the random number table. There were 736 cases in each group. The patients in the control group received postoperative conventional training without resistance nursing intervention and those in the intervention group received progressive resistance training on the basis of routine nursing intervention. The two groups were compared in view of incidence of upper limb lymphedema and upper limb dysfunction at 12 months. Results The incidence of upper limb lymphedema in the control group was higher than that in the intervention group. The incidence of symptoms of upper limb dysfunction in DASH in the intervention group was significantly lower than that in the control group. The incidence of symptoms of upper limb dysfunction in DASH in the intervention group was significantly lower than that in the control group (P<0.05). Conclusions Postoperative progressive resistance training can reduce the incidence of upper limb lymphedema in breast cancer patients and reduce its adverse symptoms. It can promote the recovery of upper limb function better.

关 键 词：乳腺癌 渐进式阻力训练 上肢淋巴水肿 护理 

分 类 号：R473.73[医药卫生—护理学]