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改良式简易锻炼法在乳腺癌术后患者康复中的应用

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目的 探究改良式简易锻炼法在乳腺癌术后患者康复中的应用效果.方法 选择 2022年3月—2023年2月于齐齐哈尔市第一医院乳腺二科行乳腺癌改良根治术的 300 例患者为研究对象,采用随机数字表法将其分为对照组与观察组,每组 150 例.术后,对照组采用传统康复锻炼法,观察组在此基础上采用改良式简易锻炼法,均持续干预 3个月.比较两组患者的肩关节活动度、患肢淋巴水肿发生情况及严重程度、上肢功能.结果 干预后,观察组的肩关节活动度优于对照组,差异有统计学意义(P﹤0.05);观察组的淋巴水肿发生率低于对照组,严重程度轻于对照组,组间差异有统计学意义(P﹤0.05);观察组的Fugl-Meyer上肢运动功能评定量表评分为(40.37±3.67)分,高于对照组的(31.34±3.40)分,差异有统计学意义(P﹤0.05).结论 改良式简易锻炼法可有效提高乳腺癌术后患者的肩关节活动度,降低患肢淋巴水肿发生率,减轻水肿程度,改善上肢功能.
Application of Modified Simple Exercise Method in the Rehabilitation of Patients with Breast Cancer after Surgery
Objective To explore the effect of modified simple exercise method in the rehabilitation of patients with breast cancer after surgery.Methods 300 patients who underwent modified radical mastectomy in the 2nd Breast Surgery Department of the First Hospital of Qiqihar from March 2022 to February 2023 were selected as the study objects,and were divided into a control group and anoperation by random number table method,with 150 cases in each group.After operation,the control group adopted the traditional rehabilitation exercise method,and the observation group adopted the improved simple exercise method on the basis of this,and the intervention lasted for 3 months in both groups.The range of motion of shoulder joint,the occurrence and severity of lymphedema of affected limb and the function of upper limb were compared between the two groups.Results After intervention,the shoulder joint motion of the observation group was better than that of the control group,the difference was statistically significant(P﹤0.05);the incidence of lymphedema in the observation group was lower than that in the control group,and the severity was less than that in the control group,the differences between the groups were statistically significant(P﹤0.05);the Fugl-Meyer assessment upper extremity scale score of the observation group was(40.37±3.67)points,higher than(31.34±3.40)points of the control group,and the difference was statistically significant(P﹤0.05).Conclusion The modified simple exercise can effectively improve the mobility of shoulder joint,reduce the incidence of lymphedema,reduce the degree of edema and improve the function of upper limb.

Breast cancerModified simple exercise methodShoulder joint range of motionLymphedemaUpper limb

乔娜、周飞

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齐齐哈尔市第一医院乳腺外二科,黑龙江齐齐哈尔 161000

乳腺癌 改良式简易锻炼法 肩关节活动度 淋巴水肿 上肢功能

黑龙江省卫生健康委科研项目

20220404010729

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
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