摘要
目的探讨综合康复锻炼对乳腺癌患者术后上肢功能康复和生活质量的影响。方法选择杭州市红十字会医院(浙江省中西医结合医院)2014年1月至2017年12月收治的乳腺癌手术患者68例作为研究对象,按照随机数字表法将其分为观察组(34例)和对照组(34例)。所有患者进行常规康复训练,观察组在此基础上进行背阔肌增强锻炼和简化24式太极拳锻炼的综合康复锻炼。对两组患者上肢功能康复情况和生活质量进行比较分析。结果观察组术后2个月后伸角度、旋内角度和内收肌力分别为(39.43±5.82)°、(150.7±10.34)°、(145.24±10.35)N,对照组术后2个月后伸角度、旋内角度和内收肌力分别为(33.71±5.28)°、(134.10±11.81)°、(119.57±9.46)N,与出院前比较均显著提高(t=12.041、3.883、11.807、4.906、21.904、11.617,均P<0.05),且观察组均明显高于对照组(t=4.244、6.166、10.674,均P<0.05);观察组术后2个月患者疼痛、ADL和ROM评分分别为(13.27±4.51)分、(16.48±4.22)分、(31.46±5.64)分,对照组术后2个月患者疼痛、ADL和ROM评分分别为(10.73±4.15)分、(12.05±4.13)分、(26.57±5.16)分,与出院前比较均显著的提高(t=5.238、2.503、10.953、5.531、12.872、9.160,均P<0.05),且观察组均明显高于对照组(t=2.417、4.375、3.730,均P<0.05);观察组术后2个月患者WHOQOL-BREF评分分别为(17.24±2.81)分、(16.74±3.18)分、(17.45±2.56)分、(33.48±5.15)分、(3.97±1.05)分、(3.87±1.18)分,对照组术后2个月患者WHOQOL-BREF评分分别为(14.21±3.08)分、(13.81±3.28)分、(13.45±2.83)分、(28.81±4.82)分、(3.26±1.16)分、(3.18±1.28)分,与出院前比较均显著的提高(t=9.669、4.965、8.327、4.857、10.522、4.198、11.487、7.132、5.572、2.688、5.178,2.727,均P<0.05),且观察组均明显高于对照组(t=4.238、3.740、6.112、4.638、2.646、2.311,均P<0.05)。结论乳腺癌患者术后进行积极的综合康复锻炼有助于上肢功能的恢复和患者生活质量的提高。
Objective To investigate the effect of comprehensive rehabilitation exercise on the rehabilitation of upper limb function and quality of life in patients with breast cancer. Methods From January 2014 to December 2017, 68 cases received breast cancer surgery in Hangzhou Red Cross Hospital were chosen in the research.The patients were randomly divided into observation group (34 cases) and control group (34 cases). All the patients were given routine rehabilitation training, and the observation group was given latissimus dorsi muscle strengthening exercise and simplified 24 Style Taijiquan exercise.The upper limb function rehabilitation and quality of life of the two groups were compared and analyzed. Results At 2 months after operation, the angle of extension, the angle of internal rotation and the adduction strength in the observation group were (39.43±5.82)°, (150.7±10.34)° and (145.24±10.35)N, respectively, which in the control group were (33.71±5.28)°, (134.10±39.43)° and (119.57±9.46)N, respectively, which were significantly improved compared with those before discharge (t=12.041, 3.883, 11.807, 4.906, 21.904, 11.617, all P<0.05), which in the observation group were significantly higher than those in the control group (t=4.244, 6.166, 10.674, all P<0.05). The pain, ADL and ROM scores in the observation group at 2 months after operation were (13.27±4.51)points, (16.48±4.22)points and (31.46±5.64)points, respectively, which in the control group were (10.73±4.15)points, (12.05±4.13)points and (26.57±5.16)points, respectively, which were significantly higher than before discharge (t=5.238, 2.503, 10.953, 5.531, 12.872, 9.160, all P<0.05), which in the observation group were significantly higher than those in the control group(t=2.417, 4.375, 3.730, all P<0.05). The WHOQOL-BREF scores in the observation group at 2 months after operation were (17.24±2.81)points, (16.74±3.18)points, (17.45±2.56)points, (33.48±5.15)points, (3.97±1.05)points and (3.87±1.18)points, respectively, which in the control group were (14.21±3.08)pionts, (13.81±3.28)points, (13.45±2.83)points, (28.81±4.82)points, (3.26±1.16)points, (3.18±1.28)points, respectively, compared with those before discharge, the differences were statistically significant(t=9.669, 4.965, 8.327, 4.857, 10.522, 4.198, 11.487, 7.132, 5.572, 2.688, 5.178, 2.727, all P<0.05), which in the observation group were significantly higher than those in the control group(t=4.238, 3.740, 6.112, 4.638, 2.646, 2.311, all P<0.05). Conclusion A positive comprehensive rehabilitation exercise for the patients with breast cancer is helpful to the recovery of the function of the upper limb and the improvement of the quality of life of the patients.
作者
饶敏丽
郑超群
钱银丹
Rao Minli;Zheng Chaoqun;Qian Yindan(Department of General Surgery,Hangzhou Red Cross Hospital (Zhejiang Integrated Traditional Chinese and Western Medicine Hospital),Hangzhou ,Zhejiang 310000,China)
出处
《中国基层医药》
CAS
2019年第2期170-174,共5页
Chinese Journal of Primary Medicine and Pharmacy
关键词
乳腺肿瘤
上肢
功能
锻炼
生活质量
Breast neoplasms
Upper limb
Function
Exercise
Quality of life
