首页|穴位按摩联合康复锻炼器在乳腺癌术后患者功能锻炼中的应用价值分析

穴位按摩联合康复锻炼器在乳腺癌术后患者功能锻炼中的应用价值分析

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目的 分析穴位按摩联合康复锻炼器在乳腺癌术后患者功能锻炼中的应用价值。方法 选择2022年1月-2024年1月浙江中医药大学附属嘉兴中医院诊治的100例乳腺癌术后患者,分为对照组(给予康复锻炼器,45例)和联合组(给予穴位按摩联合康复锻炼器,55例)。比较两组患者焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、患肢活动度、上肢恢复效果、生活质量评分、功能锻炼达优率以及不良反应发生率。结果 与干预前比较,干预后两组SAS量表、SDS量表评分均下降,患肢活动度、Fugl-Meyer上肢运动功能评定量表(FMA-UE)、上肢部分运动力指数(MI-UE)、生活质量评分均提升(均P<0。05)。干预后,与对照组SAS量表评分[(38。76±7。12)分]、SDS量表评分[(43。17±6。22)分]、屈肘[(28。36±3。05)°]、后伸[(48。88±12。22)°]、前屈[(86。44±20。36)°]、外展[(80。33±17。63)°]、FMA-UE 评分[(42。94±6。33)分]、M1-UE 评分[(67。52±11。22)分]、社会交往评分[(80。06±12。22)分]、情感受限评分[(78。93±14。06)分]、精神状态评分[(77。93±11。96)分]、躯体功能评分[(79。93±13。39)分]、总体健康评分[(80。02±12。33)分]、机体疼痛评分[(77。94±16。93)分]、角色限制评分[(78。19±11。33)分]、生存活力评分[(81。06±14。63)分]比较,联合组患者SAS量表评分[(31。49±5。33)分]、SDS 量表评分[(33。19±5。27)分]显著降低,屈肘[(31。69±3。44)°]、后伸[(54。97±13。93)°]、前屈[(99。25±23。55)°]、外展[(91。31±18。22)°]、FMA-UE 评分[(51。02±4。34)分]、MI-UE 评分[(73。08±11。55)分]、社会交往评分[(86。03±13。06)分]、情感受限评分[(85。61±15。33)分]、精神状态评分[(84。82±13。96)分]、躯体功能评分[(87。06±14。37)分]、总体健康评分[(86。34±13。94)分]、机体疼痛评分[(85。17±14。37)分]、角色限制评分[(84。19±14。33)分]、生存活力评分[(86。77±12。39)分]均上升,差异均有统计学意义(均P<0。05)。与对照组比较,联合组不良反应发生率(16。36%)明显下降,功能锻炼达优率(94。54%)显著升高(均P<0。05)。结论 穴位按摩联合康复锻炼器可有效改善乳腺癌术后患者功能锻炼能力,提高患者生活质量,降低不良反应发生率。
Analysis on the application value of acupoint massage combined with rehabilitation exercise apparatus in functional exercise of patients after breast cancer surgery
Objective To analyze the application value of acupoint massage combined with rehabilitation exercise apparatus in func-tional exercise of patients after breast cancer surgery.Methods A total of 100 patients after breast cancer surgery diagnosed and treated in Jiaxing Hospital of Traditional Chinese Medicine,Zhejiang Chinese Medical University from January 2022 to January 2024 were selected and divided into control group(45 cases,rehabilitation exercise apparatus)and combined group(55 cases,acupoint massage combined with re-habilitation exercise apparatus).Self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,motion range of affected limb,recovery effect of upper limb,score of life quality,excellence rate of functional exercise,and adverse reactions in the two groups were compared.Results Compared with before intervention,SAS and SDS scores decreased after intervention,and the mobility of affected limb,scores of Fugl-Meyer assessment upper extremity scale(FMA-UE),upper extremity motricity index(MI-UE),and life quality improved significantly(all P<0.05).After intervention,compared with SAS score[(38.76±7.12)points],SDS score[(43.17±6.22)points],el-bow flexion[(28.36±3.05)°],extension[(48.88±12.22)°],flexion[(86.44±20.36)°],abduction[(80.33±17.63)°],FMA-UE score[(42.94±6.33)points],MI-UE score[(67.52±11.22)points],social interaction score[(80.06±12.22)points],affective limi-tation score[(78.93±14.06)points],mental status score[(77.93±ll.96)points],physical function score[(79.93±13.39)points],general health score[(80.02±12.33)points],body pain score[(77.94±16.93)points],role limitation score[(78.19±11.33)points],viability score[(81.06±14.63)points]in control group,SAS score[(31.49±5.33)points],SDS score[(33.19±5.27)points]in combined group decreased significantly,elbow flexion[(31.69±3.44)°],extension[(54.97±13.93)°],flexion[(99.25±23.55)°],abduction[(91.31±18.22)°],FMA-UE score[(51.02±4.34)points],MI-UE score[(73.08±11.55)points],social interaction score[(86.03±13.06)points],affective limitation score[(85.61±15.33)points],mental status score[(84.82±13.96)points],physical function score[(87.06±14.37)points],general health score[(86.34±13.94)points],body pain score[(85.17±14.37)points],role limitation score[(84.19±14.33)points],and viability score[(86.77±12.39)points]in combined group increased significantly(all P<0.05).Compared with control group,the inci-dence rate of adverse reactions in combined group(16.36%)decreased significantly,the excellence rate of functional exercise(94.54%)increased significantly(P<0.05).Conclusion Acupoint massage combined with rehabilitation exercise apparatus can effectively improve functional exercise ability of patients after breast cancer surgery,improve the quality of life,and reduce the incidence rate of adverse reac-tions.

Acupoint massageRehabilitation exercise apparatusBreast cancer surgeryFunctional exercise

钱红燕、余秋燕

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浙江中医药大学附属嘉兴中医院重症监护室,浙江嘉兴 314000

浙江中医药大学附属嘉兴中医院护理部

穴位按摩 康复锻炼器 乳腺癌手术 功能锻炼

2025

中国妇幼保健
中华预防医学会 吉林省医学期刊社

中国妇幼保健

影响因子:1.486
ISSN:1001-4411
年,卷(期):2025.40(2)