Objective To evaluate the clinical effect of percutaneous acupoint electrical stimulation combined with warm acupuncture in the treatment of upper limb lymphedema associated with breast cancer.Methods A total of 64 patients with upper limb lymphedema associated with breast cancer admitted to the Rehabilitation Hospital Affiliated to Fujian University of Chinese Medicine from January 2019 to December 2023 were selected as the study objects,and they were divided into control group(32 cases)and treatment group(32 cases)according to random number table method.The control group was treated with manual lymphatic drainage,pressure bandaging,nursing and functional exercise.In the treatment group,percu-taneous acupoint electrical stimulation combined with warm acupuncture was added on the basis of the control group.The limb circumference and limb swelling degree of the wrist joint,the midpoint of the wrist elbow and the transverse line of the elbow were compared between the two groups before and after treatment,and the swelling degree of the affected limb and the incidence of adverse events were compared between the two groups.Results After treatment,the limb length at each position of the two groups were higher than those before treatment,and the limb length at each position of the treatment group was higher than that of the control group,the differences were statistically significant(P<0.05).The swelling degree of the affected limb in the treatment group was lower than that in the control group,the difference was statistically significant(P<0.05).No serious adverse events occurred in either group.Conclusion Percutaneous acupoint electrical stimulation combined with warm acupuncture therapy can effectively reduce limb circumference and swelling degree of affected limb in patients with upper limb lymphedema associated with breast cancer,and its clinical effect is better than that of traditional treatment only,so it can be widely used in clinical practice.
关键词
经皮穴位电刺激/温针/乳腺癌/上肢淋巴水肿/针灸
Key words
Percutaneous acupoint electrical stimulation/Warming acupuncture/Breast cancer/Upper limb lym-phedema/Acupuncture and moxibustion