综合康复锻炼对康复期乳腺癌患者早期患肢功能和上肢淋巴水肿的影响分析  

The effect of comprehensive rehabilitation exercise on the function of early affected limb and lymphedema of upper limb in patients with breast cancer in rehabilitation period

作　　者：周静 孙涛[2] 赵赢[1] Zhou Jing;Sun Tao;Zhao Ying(Department of General Ward of Gynecology,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100006,China;Family Planning,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100006,China)

机构地区：[1]首都医科大学附属北京妇产医院妇科综合病房,北京100006 [2]首都医科大学附属北京妇产医院计划生育科,北京100006

出　　处：《中国医学前沿杂志（电子版）》2021年第4期92-96,共5页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的分析综合康复锻炼对康复期乳腺癌患者早期患肢功能和上肢淋巴水肿的影响。方法选取2017年1月至2019年6月首都医科大学附属北京妇产医院收治的86例乳腺癌患者为研究对象,使用随机数字表法将其分为观察组和对照组,每组各43例,均行乳腺癌改良根治术治疗,对照组患者术后行常规锻炼,观察组患者术后行综合康复锻炼。比较两组患者术前和术后3个月患肢功能和肩关节活动度、术后3个月上肢淋巴水肿发生率。结果观察组患者术后3个月患肢功能评分显著低于本组术前和同期对照组(均P<0.05),患肢功能优良率显著高于本组术前和同期对照组(均P<0.05)。对照组患者术后3个月患肢功能评分显著高于本组术前(P<0.05),患肢功能优良率显著低于本组术前(P<0.05)。两组患者术后3个月肩关节前屈、后伸、外展、内收活动度均显著小于本组术前(均P<0.05),观察组患者术后3个月肩关节前屈、后伸、外展、内收活动度均显著大于对照组(均P<0.05),术后3个月上肢淋巴水肿发生率显著低于对照组(P<0.05)。结论乳腺癌患者术后上肢淋巴水肿发生率较高,且对患肢功能、肩关节活动度存在不良影响,综合康复锻炼能够降低患者上肢淋巴水肿发生率,改善患肢功能。Objective To analyze the effect of comprehensive rehabilitation exercise on the function of early affected limb and lymphedema of upper limb in patients with breast cancer in rehabilitation period.Method Eighty-six patients with breast cancer admitted to Beijing Obstetrics and Gynecology Hospital,Capital Medical University from January 2017 to June 2019 were randomly divided into observation group and control group,with 43 cases in each group,who were treated with radical mastectomy.Control group patients received routine exercise and observation group patients received comprehensive rehabilitation exercise.The limb function and shoulder joint range of motion before and 3 months after operation and the incidence of limb lymphedema 3 months after operation were compared between the two groups.Result Three months after operation,the limb function score of patients in observation group was significantly lower than that before operation and control group(all P<0.05),and the excellent and good rate of limb function was significantly higher than that before operation and control group(all P<0.05).Three months after operation,the limb function score of patients in control group was significantly higher than that before operation(P<0.05),and the excellent and good rate of limb function was significantly lower than that before operation(P<0.05).The activities of anterior flexion,posterior extension,abduction and adduction of the shoulder joint of patients in the two groups 3 months after operation were significantly lower than those before operation(all P<0.05),and the above indexes in observation group 3 months after operation were significantly higher than those in control group(all P<0.05).The incidence of lymphedema in the upper limbs 3 months after operation was significantly lower than that in control group(all P<0.05).Conclusion The incidence of lymphedema of upper limb in patients with breast cancer is high,and it has adverse effects on the function of the affected limb and shoulder joint activity.Comprehensive re

关 键 词：综合康复锻炼 乳腺癌 患肢功能 上肢淋巴水肿 

分 类 号：R473.73[医药卫生—护理学]