| 韩静,宫晨,黄燕,肖志平,付秀根,张勇,彭平.康复治疗改善乳腺癌患者患侧上肢肿胀、疼痛及功能的临床疗效[J].中国康复,2017,32(5):401-403 |
| 康复治疗改善乳腺癌患者患侧上肢肿胀、疼痛及功能的临床疗效 |
| Rehabilitation therapy improves the clinical effect of edema, pain and function in impaired limb of patients with breast cancer |
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| DOI： |
| 中文关键词: 康复治疗 乳腺癌 淋巴水肿 活动受限 疼痛 |
| 英文关键词: rehabilitation therapy breast cancer lymphedema activity limitation pain |
| 基金项目:湖北省卫生计生科研基金资助（WJ2017M058） |
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| 中文摘要: |
| 目的：观察上肢强化锻炼结合加压按摩对乳腺癌根治术后序贯化放疗患者上肢活动度、疼痛、麻木及及水肿情况的影响。方法：收集乳腺癌患者60例，随机分为观察组及对照组各30例，2组患者均行根治术及术后序贯化放疗。观察组在放射治疗开始后给予患侧上肢强化锻炼及加压按摩3个月。治疗前后评估2组患者治疗前后患肢的活动度、患侧上肢/健侧上肢周径差、患肢疼痛及患肢麻木情况。结果：放疗后，2组患者肩关节各方向活动度均较治疗前明显减小（P<0.05），但观察组活动度明显大于对照组（P<0.05）。放疗后，2组患侧疼痛VAS评分及患、健上臂周径差均较放疗前明显增加（P<0.05)，但观察组VAS评分及患、健上臂周径差均明显小于对照组（P<0.05）。放疗后，对照组麻木率较放疗前明显增加(P<0.05)，观察组较放疗前差异无统计学意义，并明显低于对照组治疗后（P<0.05）。结论：乳腺癌根治术及术后序贯化放疗可导致患者上肢活动度受限、疼痛、麻木和水肿，而上肢强化锻炼结合加压按摩可以减轻患者患肢淋巴水肿，改善乳腺癌患者上肢运功功能，疼痛及麻木症状。 |
| 英文摘要: |
| Objective: To observe the effect of physical therapy combined with compression massage on activity, pain, numbness and lymphedema of the impaired limb in breast cancer patients with sequential chemoradiotherapy after radical mastectomy. Methods: Sixty cases of breast cancer were randomly and equally divided into observation group and control group. All patients were treated with radical mastectomy and postoperative sequential chemoradiotherapy. The observation group was given the physical therapy combined with compression massage on the affected limb for 3 months after the start of radiotherapy. Before and after treatment, the activity, pain and numbness of the affected limb, and the perimeter difference between the affected limb and the healthy one were evaluated. Results: After treatment for 3 months, range of shoulder motion in various directions was decreased as compared with that before treatment in both two groups (P<0.05). After treatment, VAS score and perimeter difference between the affected limb and the healthy one in both two groups were increased (P<0.05), and VAS score and perimeter difference between the affected limb and the healthy one in observation group were significantly reduced as compared with control group (P<0.05). After treatment, the numbness of the control group was significantly increased as compared with that before treatment (P<0.05), but there was no significant difference in the numbness of observation group before and after radiotherapy (P>0.05), and the numbness was obviously lower in observation group than in control group (P<0.05). Conclusions: Radical mastectomy and postoperative sequential chemoradiotherapy could lead to limitation of motion, pain, numbness and edema of the affected limb. The physical therapy combined with compression massage can reduce edema of the affected limb, and improve motor function, symptoms of pain and numbness of the affected limb in patients with breast cancer. |
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