首页|功能锻炼结合手法淋巴引流预防乳腺癌术后BCRL的作用

功能锻炼结合手法淋巴引流预防乳腺癌术后BCRL的作用

Effect of functional exercise combined with manual lymphatic drainage on prevention of BCRL after breast cancer surgery

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目的:探讨功能锻炼结合手法淋巴引流对乳腺癌术后上肢淋巴水肿(BCRL)的预防效果,以指导临床干预措施拟定,促使患者临床获益.方法:随机将医院收治的80例乳腺癌患者分为两组,各40例,对照组患者实施常规护理联合功能锻炼,基于此,观察组患者加用手法淋巴引流,均干预4周.比较两组BCRL发生率、水肿程度、肩关节功能及生活质量.结果:观察组患者BCRL程度轻于对照组,且BCRL发生率低于对照组(P<0.05).干预后,两组患者Constant-Murley肩关节评分量表(CMS)均升高,且观察组更高(P<0.05);两组乳腺癌患者生命质量测定量表(FACT-B)评分均升高,且观察组更高(P<0.05).结论:功能锻炼、手法淋巴引流结合可将乳腺癌患者术后BCRL风险降低,提高患者的肩关节功能,提高生活质量.
Objective:To explore the preventive effect of functional exercise combined with manual lymphatic drainage on upper limb lymphedema (BCRL) after breast cancer surgery,so as to guide the formulation of clinical intervention measures and promote clinical benefits for patients.Methods:80 patients with breast cancer admitted to hospital were randomly divided into 2 groups,each with 40 cases.The control group was given routine nursing combined with functional exercise.Based on this,the observation group was treated with manual lymphatic drainage for 4 weeks.BCRL incidence,edema degree,shoulder joint function and quality of life were compared between the two groups.Results:The degree of BCRL in the observation group was less than that in the control group,and the incidence of BCRL was lower than that in the control group (P<0.05).After intervention,the Constant-Murley shoulder joint score scale (CMS) increased in both groups,and the observation group was higher (P<0.05).After intervention,FACT-B scores of breast cancer patients in both groups were increased,and the observation group was higher (P<0.05).Conclusion:The combination of functional exercise and manual lymphatic drainage can reduce the risk of BCRL,improve the shoulder function and improve the quality of life of patients with breast cancer after surgery.

breast cancerfunctional exercisemanual lymphatic drainageupper limb lymphedemaintervene

付水香、胡勤秀、刘小琴、廖菊丽

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新余市人民医院 江西新余 338000

乳腺癌 功能锻炼 手法淋巴引流 上肢淋巴水肿 护理干预

新余市社会发展指导性科技计划

20233090863

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(4)