摘要
目的研究功能贴布及抗阻力训练联合用于乳腺癌根治术后上肢淋巴水肿的价值。方法选取2018年9月~2021年9月东营区人民医院收治的150例女性乳腺癌根治术后上肢淋巴水肿患者,抽签随机分为观察组与对照组,各75例。对照组于术后1个月后采用抗阻力训练干预,训练工具主要为阻力带与哑铃,共干预3个月。观察组在对照组基础上加用功能贴布,干预1个月。比较两组干预3个月结束时上肢功能优良率与上肢感染(皮肤化脓性感染、淋巴管炎)发生率,比较两组干预前及干预3个月后上肢淋巴水肿程度(上肢周径差、上肢体积差、上肢淋巴流量)与乳腺癌患者生命质量测定量表(FACT-B)评分。结果观察组干预后上肢功能优良率显著高于对照组干预后,差异有统计学意义(P<0.05);两组干预前上肢周径差、上肢体积差、上肢淋巴流量比较差异无统计学意义(P>0.05);两组干预后与干预前比较上肢周径差、上肢体积差显著降低,上肢淋巴流量显著升高,差异有统计学意义(P<0.05);观察组干预后上肢周径差、上肢体积差显著低于对照组干预后,上肢淋巴流量显著高于对照组干预后,差异有统计学意义(P<0.05);两组干预前情感状态、社会家庭、生理状况评分比较差异均无统计学意义(P>0.05);两组干预后与干预前比情感状态、社会家庭、生理状况评分显著升高,差异有统计学意义(P<0.05);观察组干预后情感状态、社会家庭、生理状况评分均高于对照组干预后,差异有统计学意义(P<0.05);观察组干预后上肢感染发生率显著低于对照组干预后,差异有统计学意义(P<0.05)。结论功能贴布及抗阻力训练联合可有效减轻乳腺癌根治术后上肢淋巴水肿患者上肢淋巴水肿程度,改善患者生命质量,降低上肢感染发生率,值得应用。
Objective To study the value of functional patch combined with resistance training for upper limb lymphedema after radical mastectomy.Methods A total of 150 female patients with upper limb lymphedema after radical breast cancer surgery from September 2018 to September 2021 were selected and randomly divided into observation group and control group,with 75 cases in each group.The control group received resistance training intervention 1 month after the operation,with resistance band and dumbbell as the main training tools for 3 months.Observation group in addition to the control group with functional stickers,intervention for 1 month.Compare two groups of intervention for 3 months at the end of the upper limb function dykes and upper limbs infection incidence(skin purulent infection,lymphangitis),comparing the two groups before intervention and interference degree of upper limb lymphedema after three months,poor week(upper diameter of upper limb volume,poor,upper limb lymphatic flow)and determination of breast cancer patients quality of life scale(FACT-B)score.Results The excellent and good rate of upper limb function in observation group was significantly higher than that in control group after intervention,and the difference was statistically significant(P<0.05).There were no significant differences in upper limb circumference diameter,upper limb volume and upper limb lymph flow between the two groups before intervention(P>0.05).After intervention,compared with before intervention,upper limb circumference difference and upper limb volume difference were significantly decreased,and upper limb lymph flow was significantly increased in both groups,with statistical significance(P<0.05).The upper limb circumference difference and upper limb volume difference in the observation group were significantly lower than those in the control group after intervention,and the upper limb lymph flow was significantly higher than that in the control group after intervention,with statistical significance(P<0.05).There were no significant differences in scores of emotional state,social family and physiological status between the two groups before intervention(P>0.05).After intervention,the scores of emotional state,social family and physiological status in both groups were significantly higher than before intervention,with statistical significance(P<0.05).The scores of emotional state,social family and physiological condition in the observation group were higher than those in the control group after intervention,with statistical significance(P<0.05).The incidence of upper limb infection in the observation group was significantly lower than that in the control group after intervention,with statistical significance(P<0.05).Conclusion TThe combination of functional patch and resistance training can effectively reduce the degree of upper limb lymphedema in patients with upper limb lymphedema after radical mastectomy,improve the quality of life of patients,and reduce the incidence of upper limb infection,which is worthy of application.
作者
胡翠
张珊珊
成志芳
Hu Cui;Zhang Shanshan;Cheng Zhifang(General Surgery,Dongying District People's Hospital,Dongying 257000,China)
出处
《中华保健医学杂志》
2022年第5期415-418,共4页
Chinese Journal of Health Care and Medicine
基金
山东省自然科学基金资助项目(ZR2020MA037)。
关键词
功能贴布
抗阻力训练
乳腺癌根治术
上肢淋巴水肿
生命质量
上肢感染
Functional paste
Resistance training
Radical mastectomy for breast cancer
Upper limb lymphedema
Quality of life
Upper limbs infection
