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益气养阴解毒开郁法治疗乳腺癌术后上肢淋巴水肿38例 被引量:14

Treatment of 38 Cases of Lymphedema of Upper Limbs Following Breast Cancer Operation by Qi-Enriching,Yin-Nourishing,Toxin-Relieving and Depression-Releasing Therapy
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摘要 目的观察益气养阴、解毒开郁法治疗乳腺癌根治术后上肢淋巴水肿的临床效果。方法对68例乳腺癌术后上肢淋巴水肿患者按随机表法随机平均分为两组。对照组常规治疗:抬高患肢、肢体锻炼、向心性按摩等;治疗组在对照组治疗的基础上加用益气养阴、解毒开郁法中药治疗15天。结果治疗后患者主观症状比较,治疗组明显好于对照组(P<0.05);治疗前后上臂周径患侧—健侧差值比较,上肢淋巴水肿在治疗后均有消退,治疗组消退更为明显(P<0.05)。结论在常规治疗基础上联合益气养阴、解毒开郁法方药治疗能缩短水肿消退时间,对乳腺癌术后上肢淋巴水肿有明显疗效。 Objective To observe the clinical efficacy of qi-enriching, yin-nourishing, toxin-relieving and depression-releasing therapy for lymphedema of upper extremity following breast cancer operation. Method Sixty-eight subjects were divided into two groups: control group in which 30 cases were treated with conventional therapy and treatment group in which 38 cases were treated with conventional therapy plus qi-enriching, yin-nourishing, toxin-relieving and depression-releasing therapy. Results The clinical symptoms were improved more significantly in treatment group than in control group ( P 〈0.05 ) ; the perimeters of affected limbs were reduced significantly(P 〈0.05 ). Conclusion Conventional therapy plus qi-enriching, yin-nourishing, toxin-relieving and depression-releasing therapy is quite effective for lymphedema of upper extremity following breast cancer operation.
作者 吴俊清
出处 《上海中医药杂志》 2009年第11期41-42,共2页 Shanghai Journal of Traditional Chinese Medicine
关键词 乳腺癌 淋巴水肿 中医药疗法 Breast cancer lymphedema Chinese medicine
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参考文献6

  • 1Vignes S, Arrauh M, Ebelin M. Poor influence of surgery on upper limb lymphedema volume in patients after breast cancer treatment [ ] ]. J Mal Vasc, 2006, 51(4): 202-205.
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  • 4王天峰,林本耀.乳腺癌腋清扫后上肢淋巴水肿成因与防治[J].中国肿瘤,2000,9(1):27-29. 被引量:69
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