“对应补偿”推拿对乳腺癌全切术后肩关节功能康复的作用  

Effect of“corresponding compensation”massage on rehabilitation of shoulder joint function afterradical resection of breast cancer

作　　者：李沿江 赵红霞 LI Yanjiang;ZHAO Hongxia(Department of Rehabilitation,Chongqing Institute of Traditional Chinese Medicine/Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021,China)

机构地区：[1]重庆市中医研究所/重庆市中医院康复科,重庆400021

出　　处：《重庆医学》2024年第2期204-208,213,共6页Chongqing medicine

基　　金：重庆市科研机构绩效激励引导专项项目(cstc2020jxjl130005)。

摘　　要：目的探索“对应补偿”理论指导的推拿治疗对乳腺癌患者全切术后肩关节功能康复的作用。方法选取2020—2022年重庆市中医院乳腺癌全切术后女性患者40例,按随机数字表法分为A组和B组,各20例。A组患者行循序渐进式功能锻炼,B组患者行“对应补偿”推拿联合循序渐进式功能锻炼,均治疗20 d。分别于治疗前、治疗第20天、随访3个月,测量患侧肘关节屈肌、伸肌峰力矩和总做工评价患肢肌力和耐力,测量患侧肩关节前屈、后伸、外展、内收的主动关节活动度评价肩关节活动度,采用上肢功能障碍评定量表(DASH)评价上肢功能受限程度,测量患肢上臂周径差值评估上肢肿胀恢复情况,并进行比较分析。结果治疗第20天及随访3个月,两组患侧肘关节屈肌、伸肌峰力矩和总做工,以及患侧各方向肩关节活动度均提高,且B组均高于A组,差异有统计学意义(P<0.05);两组患侧DASH评分和患侧上臂周径差值均降低,且B组均低于A组,差异有统计学意义(P<0.05)。结论“对应补偿”推拿联合循序渐进式功能锻炼可促进乳腺癌全切术后患者肩关节功能康复。Objective To explore the effect of massage therapy guided by“corresponding compensation”theory on the rehabilitation of shoulder joint function after radical resection in the patients with breast cancer.Methods Forty female patients with breast cancer after radical resection in Chongqing Municipal Hospital of Traditional Chinese Medicine during 2020-2022 were selected and divided into the group A and B according to the random number table method,20 cases in each group.The group A conducted the progressive functional exercise,and the group B received“corresponding compensation”massage combined with progressive functional exercise.Both of the two groups were treated for 20 d.Before treatment,on 20 d of treatment and after 3 months follow-up,the peak torque and total work of elbow joint flexor and extensor on the affected side were measured for evaluating the muscle force and endurance of the affected limb;the initiative joint mobility of anterior flexion,posterior extension,abduction and adduction of the affected shoulder joint was measured to evaluate the shoulder joint mobility;the disabilities of the arm,shoulder and hand scale(DASH)was used to evaluate the degree of upper limb dysfunction;the swelling recovery of the upper limb was evaluated by measuring the difference of the circumference of the upper arm.The comparative analysis was conducted.Results On 20 d of treatment and after 3 months follow-up,the elbow flexion,extensor peak torque and total work on the affected side,and shoulder mobility in all directions on the affected side were improved in both groups,moreover these indicators in the group B were higher than those in the group A with statistically significant differences(P<0.05);the DASH score and the circumference difference of the upper arm on the affected side all were decreased,moreover these indicators in the group B were lower than those in the group A with statistically significant differences(P<0.05).Conclusion“Corresponding compensation”massage combined with progressive function

关 键 词：乳腺肿瘤 全切手术 对应补偿 推拿 肩关节 功能康复 

分 类 号：R737.9[医药卫生—肿瘤] R493[医药卫生—临床医学]