渐进式康复训练对乳腺癌乳房重建患者上肢功能的影响  

Effects of progressive rehabilitation training on upper limb function of patients with breast cancer undergoing breast reconstruction surgery

作　　者：张霞[1] 王妙维 李果 王傲[1] 魏全 Zhang Xia;Wang Miaowei;Li Guo(Department of Rehabilitation Medicine,West China Hospital,Sichuan University,Key Laboratory of Rehabilitation Medicine in Sichuan Province,Chengdu 610041,China)

机构地区：[1]四川大学华西医院康复医学中心,成都610041

出　　处：《中国康复》2023年第12期720-723,共4页Chinese Journal of Rehabilitation

基　　金：国家重点研发计划(2020YFC2008500,2020YFC2008502)。

摘　　要：目的:研究渐进式康复训练对乳腺癌乳房重建术后上肢功能的影响。方法:将2021年11月~2022年5月进行乳腺癌乳房重建术的39例患者随机分为观察组20例和对照组19例,观察组接受渐进式康复训练,对照组接受常规护理。评估术后第1及3个月时患者上肢功能恢复情况。结果:与对照组相比,观察组在术后第1及3个月时肩前屈、外展活动度明显增加(P<0.05),上肢功能障碍问卷(DASH)评分下降(P<0.05)。2组均未出现手术切口不愈合、皮瓣坏死、假体取出的情况。结论:渐进式康复训练能改善乳腺癌乳房重建患者的肩部活动度,提高上肢功能,具有较好的安全性。Objective:To study the effect of progressive rehabilitation training on upper limb function after breast reconstruction surgery for breast cancer patients.Methods:The patients with breast cancer undergoing breast reconstruction from November 2021 to May 2022 were randomly divided into the test group and the control group.The test group received progressive rehabilitation training,and the control group received routine care.The recovery of upper limb function was evaluated at 1st and 3rd month after operation.Results:Compared with the control group,the shoulder flexion and abduction range of motion in the test group increased significantly at 1st month and 3rd month after operation,and the disability of the arm,shoulder,and hand(DASH)score decreased significantly(P<0.05).There was no surgical incision nonunion,flap necrosis and prosthesis removal in both groups.Conclusion:Progressive rehabilitation training can improve the shoulder mobility of patients with breast cancer undergoing breast reconstruction and the upper limb function,and has good safety.

关 键 词：乳腺癌 乳房重建 康复训练 

分 类 号：R49[医药卫生—康复医学] R737.9[医药卫生—临床医学]