探讨渐进性康复训练配合预见性干预对乳腺癌术后患者上肢功能的影响  

Effect of progressive rehabilitation training combined with predictive intervention on upper limb function of postoperative patients with breast cancer

作　　者：颜雅红[1] 陈丽芬[1] 沈良盛 李选治 YAN Ya-hong;CHEN Li-fen;SHEN Liang-sheng(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门市厦门大学附属第一医院,361000

出　　处：《中国现代药物应用》2024年第4期164-167,共4页Chinese Journal of Modern Drug Application

摘　　要：目的观察渐进性康复训练配合预见性干预对乳腺癌术后患者上肢功能的影响。方法100例乳腺癌术后患者,以随机数字表法分成对照组和研究组,各50例,对照组实施以常规的康复指导,研究组实施以渐进性康复训练配合预见性干预。比较两组干预前后的患侧肢体关节活动度、上肢运动功能、日常生活能力、自我干预能力及生活质量评分,术后并发症发生情况。结果两组干预患侧肢体后各方向活动度较干预前增加,研究组前屈、后伸、内旋、外旋、内收、外展活动度分别为(158.96±13.55)、(56.36±2.77)、(89.05±10.96)、(88.34±2.95)、(58.76±2.95)、(162.34±10.18)°,与对照组的(147.10±10.96)、(49.00±3.62)、(83.75±7.36)、(81.02±3.11)、(54.34±2.76)、(156.84±12.43)°相比更高,具有显著的差异性(P<0.05)。两组干预后上肢运动功能、日常生活能力、自我干预能力及生活质量较干预前增加,研究组上肢运动功能、日常生活能力、自我干预能力及生活质量评分分别为(52.58±6.61)、(91.15±3.99)、(94.43±3.11)、(92.26±3.42)分,高于对照组的(48.17±5.62)、(87.02±4.74)、(89.43±4.11)、(87.08±4.03)分,具有显著的差异性(P<0.05)。研究组患者术后并发症发生率6.00%低于对照组的22.00%,具有显著的差异性(P<0.05)。结论乳腺癌术后患者开展渐进性康复训练配合预见性干预,可改善患侧肢体的上肢各方向活动度,提升术后上肢运动功能、日常生活能力、自我干预能力及生活质量,减少术后并发症的发生。Objective To observe the effect of progressive rehabilitation training combined with predictive intervention on upper limb function of postoperative patients with breast cancer.Methods 100 postoperative patients with breast cancer were divided into a control group and a study group,with 50 patients in each group.The control group was treated with conventional rehabilitation guidance,and the study group was treated with progressive rehabilitation training combined with predictive intervention.The joint range of motion,scores of upper limb motor function,daily living ability,self-intervention ability and quality of life score before and after the intervention,and postoperative complications were compared between the two groups.Results After intervention,the joint range of motion in all directions increased;the range of motion of flexion,extension,intorsion,pronation,adduction and abduction in the study group were(158.96±13.55),(56.36±2.77),(89.05±10.96),(88.34±2.95),(58.76±2.95)and(162.34±10.18)°,which were higher than(147.10±10.96),(49.00±3.62),(83.75±7.36),(81.02±3.11),(54.34±2.76)and(156.84±12.43)°in the control group,the difference was significant(P<0.05).After the intervention,the scores of upper limb motor function,daily living ability,self-intervention ability and quality of life increased in both groups compared with those before the intervention;and the scores of upper limb motor function,daily living ability,self-intervention ability and quality of life in the study group were(52.58±6.61),(91.15±3.99),(94.43±3.11)and(92.26±3.42)points,which were higher than(48.17±5.62),(87.02±4.74),(89.43±4.11)and(87.08±4.03)points in the control group;the difference was significant(P<0.05).The incidence of postoperative complications was 6.00%in the study group,which was lower than 22.00%in the control group,and the difference was significant(P<0.05).Conclusion In postoperative patients with breast cancer,carrying out progressive rehabilitation training with predictive intervention can significantly

关 键 词：渐进性康复训练 预见性干预 康复干预 乳腺癌术后 上肢功能 

分 类 号：R737.9[医药卫生—肿瘤] R493[医药卫生—临床医学]