中医综合护理对妇科恶性肿瘤患者术后下肢水肿程度及生活质量的影响  

Effect of the Comprehensive Nursing of Traditional Chinese Medicine on Degree of Lower Limb Edema and Quality of Life in Patients after Gynecological Malignant Tumors Surgery

作　　者：韩倩倩 张建华 李丽 刘慧 侯伟[1] 王婷婷 谢丹 HAN Qianqian;ZHANG Jianhua;LI Li;LIU Hui;HOU Wei;WANG Tingting;XIE Dan(Traditional Chinese Medicine Department,Tai’an Tumour Prevention and Treatment Hospital,Tai’an 271000,China)

机构地区：[1]泰安市肿瘤防治院中医一科,山东泰安271000 [2]泰安市肿瘤防治院血管通路门诊,山东泰安271000

出　　处：《中国医学创新》2025年第7期97-100,共4页Medical Innovation of China

摘　　要：目的:研究中医综合护理对妇科恶性肿瘤患者术后下肢水肿程度及生活质量的影响。方法:选择2022年10月—2024年3月在泰安市肿瘤防治院行妇科恶性肿瘤手术的64例患者,随机分为两组,各32例。对照组选用常规护理,观察组在常规护理的基础上增加中医综合护理。观察比较两组术后下肢水肿程度、生活质量及护理满意度。结果:术后3、7 d,观察组髌下10 cm、髌上5 cm、脚踝上5 cm处的肢体维度均低于对照组(P<0.05)。术后1周,两组世界卫生组织生活质量测定简表(WHOQOL-BREF)评分低于术前,但观察组高于对照组(P<0.05);术后2周,两组WHOQOL-BREF评分高于术前及术后1周,且观察组高于对照组(P<0.05);术后4周,两组WHOQOL-BREF评分高于术前及术后1、2周,且观察组高于对照组(P<0.05)。观察护理总满意度高于对照组(P<0.05)。结论:中医综合护理可有效改善妇科恶性肿瘤患者术后下肢水肿,并且有助于提升患者生活质量。Objective:To study the effect of traditional Chinese medicine comprehensive nursing on the degree of lower limb edema and quality of life of patients after gynecological malignant tumor surgery.Method:A total of 64 patients who underwent surgery for gynecological malignant tumors in Tai’an Tumour Prevention and Treatment Hospital from October 2022 to March 2024 were randomly divided into two groups,with 32 patients in each group.The control group selected routine nursing,and the observation group added traditional Chinese medicine comprehensive nursing on the basis of routine nursing.The degree of postoperative lower limb edema,quality of life and nursing satisfaction between the two groups were observed and compared.Result:On 3 and 7 d after surgery,the limb dimensions of subpatellar 10 cm,suprapatellar 5 cm and ankle 5 cm in the observation group were lower than those in the control group(P<0.05).One week after surgery,the world health organization quality of life-Brief(WHOQOL-BREF)scores of two groups were lower than those before surgery,but that in the observation group was higher than that in the control group(P<0.05).At 2 weeks after surgery,the WHOQOL-BREF scores in two groups were higher than those before surgery and 1 week after surgery,and that in the observation group was higher than that in the control group(P<0.05).At 4 weeks after surgery,the WHOQOL-BREF scores in two groups were higher than those before surgery and 1 week and 2 weeks after surgery,and that in the observation group was higher than that in the control group(P<0.05).The total satisfaction of nursing was higher than that of control group(P<0.05).Conclusion:The comprehensive nursing of traditional Chinese medicine can effectively improve the postoperative lower limb edema of patients with gynecological malignant tumor,and help to improve the quality of life of patients.

关 键 词：中医综合护理 妇科恶性肿瘤 下肢水肿 生活质量 

分 类 号：R248.9[医药卫生—中医临床基础]