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综合消肿干预对乳腺癌相关淋巴水肿患者的影响

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目的:探究综合消肿干预对乳腺癌相关淋巴水肿(BCRL)患者的影响。方法:选取 2021 年 7 月—2023 年 2 月南平市第一医院收治的 118 例乳腺癌术后BCRL患者作为研究对象,按随机数表法分为对照组、观察组,各 59 例。对照组进行上肢运动训练,观察组在对照组的基础上行综合消肿干预;比较两组干预前后患肢肿胀程度、患臂周径、患肢活动度、生活质量[Fugl-Meyer评估表(FMA)评分、Bathel指数(BI)]的变化情况。结果:干预后,观察组患肢肿胀程度轻于对照组,差异有统计学意义(P<0。05);干预后,两组患臂周径短于干预前,患肢肩关节前屈、内旋、后伸、外展角度、FMA评分、BI评分均高于干预前,且观察组患臂周径短于对照组,患肢肩关节前屈、内旋、后伸、外展角度、FMA评分、BI评分均高于对照组,差异有统计学意义(P<0。05)。结论:综合消肿干预可以有效减轻BCRL患者的患肢肿胀程度,提高患肢的活动度和生活质量。
Effect of Comprehensive Detumescence Intervention on Patients with Breast Cancer-related Lymphoedema
Objective:To explore the effect of comprehensive detumescence intervention on patients with breast cancer-related lymphedema(BCRL).Method:A total of 118 patients with BCRL after breast cancer surgery admitted to Nanping First Hospital from July 2021 to February 2023 were selected as the study objects,and they were divided into control group and observation group according to random number table method,with 59 cases in each group.The control group received upper limb exercise training,and the observation group was treated with comprehensive detumescence intervention on the basis of the control group.The swelling degree of affected limb,circumference of affected arm,range of motion and quality of life[Fugl-Meyer assessment scale(FMA)score,Bathel index(BI)]were compared between the two groups before and after intervention.Result:After intervention,the swelling degree of the affected limb in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the circumference of the affected arm in both groups was shorter than that before intervention;shoulder flexion,pronation,extension,abduction angle,FMA score and BI score of the affected limb were all higher than those before intervention;the circumference of the affected arm in the observation group was shorter than that in the control group;shoulder flexion,pronation,extension,abduction angle,FMA score and BI score of the affected limb in the observation group were all higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Comprehensive detumescence intervention can effectively reduce the swelling degree of the affected limb in BCRL patients and improve the mobility and quality of life of the affected limb.

Comprehensive detumescence interventionBreast cancer-related lymphedemaQuality of life

陆慧娟、罗燕、陆云卿、叶枫

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南平市第一医院 福建 南平 353000

综合消肿干预 乳腺癌相关淋巴水肿 生活质量

福建医科大学科研发展基金项目

2022QH1432

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(16)