手法淋巴引流联合肌内效贴对乳腺癌患者术后康复水平的影响  

Study on the clinical effect of manual lymphatic drainage combined with intramuscular sticking on postoperative rehabilitation of breast cancer patients

作　　者：何熙梅 曹亚臣 周香[1] 叶志强 HE Ximei;CAO Yachen;ZHOU Xiang;YE Zhiqiang(Department of Breast Surgery,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州医科大学附属第一医院乳腺外科,浙江温州325000

出　　处：《中华全科医学》2025年第1期127-130,共4页Chinese Journal of General Practice

基　　金：浙江省自然基金基础公益研究项目(LQ22h160022)。

摘　　要：目的为提高乳腺癌术后康复水平,探索手法淋巴引流联合肌内效贴用于乳腺癌术后患者的临床效果。方法纳入2020年1月—2022年12月于温州医科大学附属第一医院实施乳腺癌手术患者130例,采用随机数表法分为研究组(65例)和对照组(65例),2组均进行分阶段康复训练,在此基础上,研究组实施手法淋巴引流联合肌内效贴治疗。测定患者干预前后肩关节活动度,评价干预后生活质量、肩关节功能、运动耐力水平,统计患者上肢水肿发生情况。结果研究组干预后前屈、外展、内收和后伸等肩关节活动度均显著高于对照组(P<0.001);研究组乳腺癌患者生命质量评价表(FACT-B)评分和Constant-Murley评分[(118.37±10.79)分、(88.95±7.46)分]均显著高于对照组[(105.92±10.36)分、(80.46±7.03)分,P<0.001];研究组最大心率持续时间、6 min步行距离和Gunnar Borg评分均显著优于对照组,而心率恢复时间则显著短于对照组(P<0.001);研究组干预期间上肢水肿发生率显著低于对照组[9.23%(6/65)vs.23.08%(15/65),χ^(2)=4.600,P=0.032]。结论在康复训练基础上实施手法淋巴引流联合肌内效贴治疗,可提高乳腺癌患者术后肩关节功能恢复水平,改善生活质量,增强运动耐力,并有助于降低上肢水肿发生风险。Objective In order to improve the postoperative rehabilitation level of breast cancer patients,to explore the clinical effect of manual lymphatic drainage combined with intramuscular plaster in such patients.Methods A total of 130 patients who underwent breast cancer surgery in the First Affiliated Hospital of Wenzhou Medical University from January 2020 to December 2022 were included,and divided into study group(65 cases)and control group(65 cases).The control group patients were undergone staged rehabilitation training,and on this basis,the study group patients were received the implementation of manual lymphatic drainage combined with intramuscular effect patch therapy intervention.The changes in shoulder joint mobility of patients before and after intervention were measured.The quality of life,shoulder joint function,and exercise endurance level after intervention were evaluated.The occurrence of upper limb edema in patients during the intervention period were counted.Results After intervention,the range of motion of shoulder joint(flexion,abduction,adduction,and extension)in the study group was significantly higher than those in the control group(P<0.001).The functional assessment of cancertherapy-breast(FACT-B)score and Constant-Murley score of the study group[(118.37±10.79)points,(88.95±7.46)points]were significantly higher than those of the control group[(105.92±10.36)points,(80.46±7.03)points,P<0.001].The maximum heart rate duration,6-minute walking distance,and Gunnar Borg score in the study group were significantly longer or higher than those in the control group,while the heart rate recovery time was significantly shorter than that in the control group(P<0.001).The incidence of upper limb edema during the intervention period in the study group was significantly lower than that in the control group[9.23%(6/65)vs.23.08%(15/65),χ^(2)=4.600,P=0.032].Conclusion On the basis of rehabilitation training,manual lymphatic drainage combined with intramuscular effect patch can improve the recovery level of s

关 键 词：乳腺癌 康复训练 手法淋巴引流 肌内效贴 肩关节功能 上肢水肿 

分 类 号：R737.9[医药卫生—肿瘤] R730.9[医药卫生—临床医学]