人体成分分析仪联合空气循环压力在防治乳腺癌相关淋巴水肿的临床应用  

Clinical application of human body composition analyzer combined with air circulation pressure in preventing and treating breast cancer related lymphedema

作　　者：张霞[1] 王妙维 王任杰[1] 李果 王傲[1] 尹雨涵 魏全 ZHANG Xia;WANG Miaowei;WANG Renjie;LI Guo;WANG Ao;YIN Yuhan;WEI Quan(Rehabilitation Department,West China Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院康复科,成都610041

出　　处：《湖南师范大学学报（医学版）》2023年第4期71-74,共4页Journal of Hunan Normal University(Medical Sciences)

基　　金：国家重点研发计划(2020YFC2008502);四川省科技计划项目(2021YFS0239)。

摘　　要：目的:探究人体成分分析仪联合空气循环压力对防治乳腺癌相关淋巴水肿(BCRL)的临床应用价值.方法:收集2021年5月—2022年4月行乳腺癌改良根治术+腋窝淋巴结清扫治疗的患者82例为研究对象,采用随机数字表法将患者分为两组(常规组和联合组),常规组于术后给予常规治疗及护理,联合组在常规组基础上给予人体成分分析仪联合空气循环压力治疗.比较两组治疗前后上肢相关指标及术后淋巴水肿程度、人体成分指标、肩关节活动度,并采用乳腺癌相关淋巴水肿症状指数量表(BCLE-SEI)评价患者症状严重程度.结果:联合组治疗后上肢体积差小于常规组;联合组水肿程度低于常规组;联合组治疗后50 Hz电阻大于常规组,节段水分、细胞外水分少于常规组,组织水分比率低于常规组;联合组治疗后肩关节活动度大于常规组;联合组治疗后BCLE-SEI评分低于常规组.两组患者术后均未出现严重并发症.结论:将人体成分分析仪联合空气循环压力应用于乳腺癌术后治疗中,可减轻BCRL严重程度及相关症状程度,提高其肩关节活动度.Objective To explore the clinical application value of human body composition analyzer combined with air circulation pressure on preventing and treating breast cancer related lymphedema(BCRL).Methods 82 patients who underwent modified radical mastectomy+axillary lymph node dissection from May 2021 to April 2022 were selected as the study subjects and were divided into two groups by the random number table method.The routine group was given routine treatment and nursing after surgery,and the combined group was given human body composition analyzer combined with air circulation pressure treatment on the basis of the routine group.The upper limb-related indicators,postoperative lymphedema degree,human body composition indicators and shoulder range of motion were compared between the two groups before and after treatment.Breast Cancer and Lymphedema Symptom Experience Index(BCLE-SEI)was used to evaluate the symptom severity of patients.Results After treatment,the upper arm volume difference was smaller in combined group than that in routine group.The edema degree in combined group was milder than that in routine group.The 50Hz resistance in combined group after treatment was higher than that in routine group,and the segment water and extracellular water were less than those in routine group.and the tissue water ratio was lower.The shoulder range of motion in combined group was larger than that in routine group after treatment.The BCLE-SEI scores after treatment in combined group were lower compared with those in routine group.No serious complications occurred in both groups after surgery.Conclusion The application of human body composition analyzer combined with air circulation pressure in postoperative treatment of breast cancer can alleviate the severity of BCRL and related symptoms,and enhance the shoulder range of motion.

关 键 词：人体成分分析仪 空气循环压力 乳腺癌改良根治术 乳腺癌相关淋巴水肿 

分 类 号：R737.9[医药卫生—肿瘤]