中药熏洗联合穴位按摩治疗乳腺癌术后上肢水肿临床研究  

Clinical Study on Chinese Herbal Fumigation Combined with Point Massage in the Treatment of Upper-Limb Edema after Breast Cancer Surgery

作　　者：陈雯[1] 杨秀英[1] 王伟文[1] CHEN Wen;YANG Xiuying;WANG Weiwen

机构地区：[1]台州医院

出　　处：《新中医》2019年第9期256-259,共4页New Chinese Medicine

摘　　要：目的:观察中药熏洗联合穴位按摩治疗乳腺癌术后上肢水肿的临床效果。方法:将120例乳腺癌术后上肢水肿患者随机分为对照组和观察组,每组60例;对照组给予常规药物治疗和患肢功能锻炼,观察组在功能锻炼基础上给予中药熏洗联合穴位按摩疗法,疗程均为1个月;观察2组上肢消肿效果,统计治疗前后患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、乳腺癌特异性量表(EORTCQLQ-BR23)评分。结果:上肢水肿疗效总有效率观察组为93.33%,对照组为71.67%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组SAS、SDS评分比较,差异无统计学意义(P>0.05);治疗后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。治疗前,2组EORTCQLQ-BR23量表中各生活质量维度评分比较,差异无统计学意义(P>0.05);治疗后,观察组患者乳腺癌症状、上肢症状、对未来的憧憬、体象、系统治疗不良反应、对脱发的担忧等评分均明显低于对照组,差异有统计学意义(P<0.05)。结论:在功能锻炼的基础上,中药熏洗联合穴位按摩疗法治疗乳腺癌术后上肢水肿,可显著改善患者心理状态及患肢水肿情况,提高患者生活质量。Objective : To observe the clinical effect of the therapy of Chinese herbal fumigation combined with point massage in the treatment of upper-limb edema after breast cancer surgery. Methods : A total of 120 cases of patients with upper-limb edema after breast cancer surgery were randomly divided into the control group and the observation group, 60 cases in each group. The control group was treated with conventional medicine and functional exercise of affected limbs,while the observation group additionally received Chinese herbal fumigation combined with point massage except for functional exercise. The course of treatment was one month in both groups. The reduction of upper-limb swelling in the two groups,the scores of Self-Rating Anxiety Scale( SAS), Self-Rating Depression Scale( SDS) and a specific questionnaire for breast cancer( EORTC QLQ-BR23) were statistically analyzed before and after treatment. Results : The total effective rate of upper-limb edema was 93.33% in the observation group and 71.67% in the control group, the difference being statistically significant( P <0. 05). Before treatment, there was no statistically significant difference in the comparison of the scores of SAS and SDS between the two groups(P > 0.05). After treatment, SAS and SDS scores in the observation group were lower than those in the control group, the difference being statistically significant( P < 0.05). Before treatment, there was no statistically significant difference in the comparison of each dimension of life quality in EORTC QLQ-BR23 between the two groups( P > 0. 05).After treatment, the scores of breast cancer symptoms, upper limb symptoms, vision for the future, body image, adverse reactions to systematic treatment and worries about hair loss in the observation group were significantly lower than those in the control group, the difference being statistically significant( P < 0. 05). Conclusion : Based on the treatment of functional exercise, the therapy of Chinese herbal fumigation combined with point massage can signif

关 键 词：乳腺癌 上肢水肿 乳腺癌特异性量表 功能锻炼 中药熏洗 穴位按摩 

分 类 号：R248.2[医药卫生—中医临床基础] R737.9[医药卫生—中医学]