系统性康复训练对宫颈癌术后下肢淋巴水肿患者大小腿中段周径焦虑症筛查量表评分及视觉模拟评分的影响  

Effect of systematic rehabilitation training on the circumference of middle lower extremities,anxiety screening scale score and visual analogue evaluation of patients with lymphedema of lower extremity after cervical cancer surgery

作　　者：赵莎莎 吕亚[2] 顾景艳[2] 董亚运[2] 于沁璇 ZHAO Sha-Sha;LYU Ya;GU Jing-Yan(Zhejiang Chinese Medical University,Hangzhou,Zhejiang 310053,China;Wuxi maternity and child Health Care Hospital,Wuxi,Jiangsu214000,China)

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]无锡市妇幼保健院,江苏无锡214000

出　　处：《中国妇幼保健》2022年第15期2741-2744,共4页Maternal and Child Health Care of China

基　　金：江苏省无锡市卫生计生委科研项目(MS201834)。

摘　　要：目的 探讨系统性康复训练对宫颈癌术后下肢淋巴水肿患者大小腿中段周径、焦虑症筛查量表评分及视觉模拟评分的影响。方法 选取无锡市妇幼保健院2018年1月—2019年2月收治的82例接受手术治疗的宫颈癌患者分成对照组和观察组,各41例,两组患者均采用常规护理干预,观察组患者在此基础上采用以渐进性功能锻炼为主的系统性康复训练。结果 术后1周和术后2周,观察组大小腿中段周径分别为(53.13±4.05)cm、(51.02±4.05)cm,均小于对照组,差异有统计学意义(P<0.05)。术后第2周和术后第4周观察组GAD-7水平[(5.36±2.11)分、(3.21±0.60)分]和VAS评分[(4.23±0.56)分、(2.97±0.47)分]均较对照组低,差异有统计学意义(P<0.05)。干预后4周观察组下肢淋巴水肿程度明显较对照组轻,差异有统计学意义(P<0.05)。观察组康复锻炼依从性明显高于对照组,差异有统计学意义(P<0.05)。结论 采用手术治疗的宫颈癌患者应用以渐进性功能锻炼为主的系统性康复训练指导能够使下肢淋巴水肿得到有效缓解,可促进其术后身体机能恢复。Objective To investigate the effect of systematic rehabilitation training on the circumference of middle lower extremities, anxiety screening scale score and visual analogue evaluation of patients with lymphedema of lower extremity after cervical cancer surgery.Methods A total of 82 patients with cervical cancer admitted to Wuxi Maternity and Child Health Care Hospital from January 2018 to February 2019 were randomly divided into the control group and the observation group. Patients in both groups received routine nursing intervention, and patients in the observation group received systematic rehabilitation training based on progressive functional exercise.Results At 1 week and 2 weeks after surgery, the patients’ circumference fractions were(53.13±4.05)cm and(51.02±4.05) cm respectively. Those in the observation group were lower than those in the control group, the difference was statistically significant(P<0.05). The levels of GAD-7 and VAS scores of the observation group at the 2 nd and 4 th weeks after surgery were [(5.36±2.11),(3.21±0.60)] and [(4.23±0.56),(2.97±0.47) ] respectively. Scales were significantly lower than those of the control group(P<0.05). At 4 weeks after intervention, the degree of lymphedema of lower extremities in the observation group was significantly better than that in the control group with statistically significant(P<0.05). The compliance of the observation group was significantly higher than that of the control group, the difference was statistically significant(P<0.05).Conclusion The patients with cervical cancer who were treated by operation can effectively relieve lymphedema of lower extremity and promote the recovery of their physical function by systematic rehabilitation training with progressive functional exercise as the main guidance.

关 键 词：系统性康复训练 宫颈癌 下肢淋巴水肿 大小腿中段周径 焦虑症筛查量表评分 视觉模拟评分 

分 类 号：R737.33[医药卫生—肿瘤]