通络化瘀方加减治疗乳腺癌术后患肢淋巴水肿临床研究  

Clinical Study on Modified Tongluo Huayu Prescription for Lymphedema of Affected Limbs After Operation for Breast Cancer

作　　者：胡广途[1] 胡进坤 关雪梅[1] 王瑞 童永祥 孙志远 HU Guangtu;HU Jinkun;GUAN Xuemei;WANG Rui;TONG Yongxiang;SUN Zhiyuan

机构地区：[1]甘肃省中医院白银分院普通外科,甘肃白银730900 [2]靖远县人民医院儿科,甘肃靖远730600

出　　处：《新中医》2021年第17期137-140,共4页New Chinese Medicine

摘　　要：目的:观察通络化瘀方加减治疗乳腺癌术后患肢淋巴水肿的临床疗效。方法:选择82例行乳腺癌根治术后出现患肢淋巴水肿的患者为研究对象,按随机数字表法分为治疗组42例与对照组40例。对照组采用西医常规治疗,治疗组在对照组基础上采用通络化瘀方加减治疗。比较2组临床疗效及治疗前后患肢周径、患肢症状改善情况及上肢功能。结果:治疗组临床总有效率为92.86%,高于对照组的70.00%(P<0.05)。与同组治疗前比较,治疗后2组患肢臂围,患肢麻木感、疼痛感、肿胀感、沉重感等主观症状评分,以及上肢功能评分量表(DASH)评分均降低(P<0.05);与对照组治疗后比较,治疗组治疗后患肢臂围,患肢麻木感、疼痛感、肿胀感、沉重感等主观症状评分,以及DASH评分均较低(P<0.05)。结论:采用通络化瘀方加减治疗乳腺癌术后患肢淋巴水肿疗效确切,可明显缩小患肢周径,减轻患肢水肿症状,改善上肢功能。Objective:To observe the clinical effect of modified Tongluo Huayu prescription for lymphedema of affected limbs after operation for breast cancer. Methods:A total of 82 cases of patients with lymphedema of affected limbs after radical mastectomy were selected as the study subjects and divided into the treatment group and the control group according to the random number table method, 42 and 40 cases in each group respectively. The control group was given routine treatment in western medicine,and the treatment group was additionally treated with modified Tongluo Huayu prescription based on the treatment of the control group. The clinical effect in the two groups were compared. Before and after treatment,the perimeter of affected limbs, the improvement of symptoms in affected limbs and the upper limb function in the two groups were compared. Results: The total clinical effective rate was 92.86% in the treatment group, higher than that of70.00% in the control group(P<0.05). After treatment, the arm circumference, the subjective symptom scores including numbness,pain,swelling and heaviness in affected limbs as well as the scores of Disabilities of the Arm,Shoulder,and Hand questionnaire(DASH) in the two groups were decreased when compared with those before treatment(P<0.05);the arm circumference,the subjective symptom scores including numbness,pain,swelling and heaviness in affected limbs as well as the DASH score in the treatment group were lower than those in the control group(P<0.05). Conclusion:Modified Tongluo Huayu prescription has definite curative effect in treating patients with lymphedema of affected limbs after operation for breast cancer, and can significantly decrease the perimeter of affected limbs, relieve the symptoms of swelling in affected limbs and improve upper limb function.

关 键 词：乳腺癌 淋巴水肿 通络化瘀方 上肢功能评分量表 

分 类 号：R737.9[医药卫生—肿瘤]