低弹力绷带联合抗阻力训练对乳腺癌根治术后上肢淋巴回流障碍的影响  

Effect of low elastic bandage combined with resistance training on upper limb lymphatic reflux disorder after radical mastectomy for breast cancer

作　　者：沙家梅 李文婷 李倩 Sha Jiamei;Li Wenting;Li Qian(Outpatient Department,West Hospital of Qingdao Municipal Hospital,Qingdao 266002,China)

机构地区：[1]青岛市市立医院西院区门诊科,266002

出　　处：《中华保健医学杂志》2022年第3期240-243,共4页Chinese Journal of Health Care and Medicine

基　　金：山东省医药卫生科技发展计划项目(2019WS0128)。

摘　　要：目的研究低弹力绷带联合抗阻力训练对乳腺癌根治术后上肢淋巴回流障碍的影响。方法前瞻性选取青岛市市立医院2019年1月~2020年1月收治的102例乳腺癌根治术治疗患者,随机数表法随机分为对照组(51例)和观察组(51例)。对照组行低弹力绷带干预,观察组在此基础上联合抗阻力训练干预。比较两组上肢功能优良率及临床指标,对比两组干预前后上肢淋巴水肿程度(上肢周径差、上肢容积、上肢淋巴流量),分析两组干预前后乳腺癌生命质量测定量表(FACT-B)评分,观察两组患者满意度。结果观察组上肢功能优良率为96.08%,高于对照组的84.31%,差异有统计学意义(P<0.05)。观察组腋窝拔管时间、胸腔拔管时间、日引流量及住院时间均低于对照组,差异有统计学意义(P<0.05)。两组干预后上肢周径差、上肢容积均较干预前降低,差异有统计学意义(P<0.05),上肢淋巴流量较干预前升高,差异有统计学意义(P<0.05);观察组干预后肢周径差、上肢容积低于对照组,差异有统计学意义(P<0.05),上肢淋巴流量高于对照组,差异有统计学意义(P<0.05)。两组干预后生理状况、情感情况、功能状况、社会家庭状况、附加关注及FACT-B总分较干预前增加,差异有统计学意义(P<0.05);观察组干预后生理状况、情感情况、功能状况、附加关注及FACT-B总分均高于对照组,差异有统计学意义(P<0.05),社会家庭状况评分较对照组比较差异无统计学意义(P>0.05)。观察组患者满意度为94.12%,高于对照组的80.39%,差异有统计学意义(P<0.05)。结论低弹力绷带联合抗阻力训练可促进乳腺癌根治患者术后康复,改善上肢淋巴水肿程度,促进恢复上肢功能,提高生命质量,患者满意度较高。Objective To study the effect of low-elastic bandage combined with resistance training on upper extremity lymphatic reflux disorder after radical mastectomy for breast cancer.Methods A total of 102 patients undergoing radical mastectomy for breast cancer admitted to our hospital from January 2019 to January 2020 were selected and randomly divided into a control group(n=51)and an observation group(n=51)based on the number table.The control group received low-elastic bandage intervention,and the observation group combined resistance training intervention on this basis.The superior and good rate of upper limb function and clinical indicators of the two groups were compared,the degree of upper limb lymphedema(upper limb circumference difference,upper limb volume,upper limb lymph flow)before and after intervention was compared between the two groups,and the breast cancer quality of life measurement scale(FACT-B)before and after intervention was analyzed)Score,the satisfaction of the two groups of patients in the observation group.Results The excellent and good rate of upper limb function in the observation group was 96.08%,which was higher than 84.31%in the control group(P<0.05).The axillary extubation time,thoracic extubation time,drainage volume and hospital stay in the observation group were lower than those in the control group(P<0.05).After the intervention,the upper limb circumference difference and upper limb volume of the two groups were lower than before the intervention(P<0.05),and the upper limb lymph flow was higher than that before the intervention(P<0.05);the observation group had a difference in the circumference of the limb after the intervention and the upper limb volume was lower than that of the control group.(P<0.05),the upper limb lymph flow was higher than the control group(P<0.05).The physiological status,emotional status,functional status,social and family status,additional attention and FACT-B total scores of the two groups after the intervention increased compared with those before the interv

关 键 词：低弹力绷带 抗阻力训练 乳腺癌根治术 康复 生命质量 

分 类 号：R737.9[医药卫生—肿瘤]