| 冯微.康复锻炼对乳腺癌术后患肢运动功能恢复的影响[J].安徽医药,2018,22(10):2055-2057. |
| 康复锻炼对乳腺癌术后患肢运动功能恢复的影响 |
| Effect of rehabilitation exercise on motor function recovery of patients with postoperative breast cancer |
| 投稿时间：2016-12-23 |
| DOI： |
| 中文关键词: 乳腺肿瘤 手术后医护 上肢 运动疗法 |
| 英文关键词: Breast neoplasms Postoperative care Upper extremity Exercise therapy |
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| 中文摘要: |
| 目的 探讨早期阶段性康复锻炼对乳腺癌术后患肢运动功能恢复的影响。 方法 选取2014年6月至2016年6月在中国医科大学附属盛京医院第二乳腺外科接受乳腺癌改良根治术治疗的女性患者60例,按所采取的不同康复锻炼方法分为观察组和对照组,每组30例。对照组仅按照乳腺癌术后常规方法进行功能锻炼,观察组在其基础上实施阶段性康复锻炼,比较两组患者术后患侧上肢运动功能改善情况、运动耐力和并发症发生情况。 结果 术后3个月观察组患者肩关节外展活动度受限2例,占6.67%；外展肌群肌力下降2例,占6.67%。对照组患者肩关节外展活动度受限9例,占30.00%；外展肌群肌力下降8例,占26.67%。观察组术后肩关节外展活动度受限和外展肌群肌力发生率均明显低于对照组(χ2=5.455,P=0.020；χ2=4.320,P=0.038)。观察组术后3个月最大心率时间长于对照组,距离远于对照组,心率恢复时间短于对照组,主观用力感觉评分高于对照组,差异均有统计学意义(t=3.421,P=0.001；t=16.620,P＜0.001；t=11.178,P＜0.001；t=5.335,P＜0.001)。观察组术后上肢水肿、皮下积液和皮瓣坏死发生率均低于对照组,差异均有统计学意义(χ2=5.192,P=0.023；χ2=6.405,P=0.011；χ2=4.043,P=0.044)。 结论 加强早期阶段性康复锻炼可促进乳腺癌术后患肢运动功能恢复,提高运动耐力,减少术后并发症。 |
| 英文摘要: |
| Objective To explore the effect of early stage rehabilitation exercise on recovery of motor function in patients with breast cancer after operation. Method Sixty female patients who underwent modified radical mastectomy in Shengjing Hospital Affiliated to China Medical University from June 2014 to June 2016 were assigned into observation group and control group according to the different rehabilitation methods,30 cases in each group.The control group performed functional exercises only according to the routine methods of postoperative exercise,while the observation group implemented phased rehabilitation exercise on the basis of the routine exercise.The improvement of postoperative upper limb motor function,exercise tolerance and complications were compared between the two groups. Results In the observation group,2 patients had limited shoulder joint abduction at 3 months after surgery,accounting for 6.67%,and 2 patients had decreased muscle strength of abductor muscle group,accounting for 6.67%.In the control group,there were 9 cases of limited shoulder joint abduction,accounting for 30%,and 8 cases of decreased muscle strength of abductor muscle group,accounting for 26.67%.The incidence rate of limited shoulder joint abduction activity and abductor muscle strength in the observation group were significantly lower than those in the control group after surgery,and the differences were statistically significant (χ2=5.455,P=0.020;χ2=4.320,P=0.038).The maximum heart rate time of the observation group was longer than that of the control group at 3 months after surgery,the distance was far greater than that of the control group,the recovery time of heart rate was shorter than that of the control group,and the subjective power sensation score was higher than that of the control group,and the differences were statistically significant (t=3.421,P=0.001;t=16.620,P＜0.001;t=11.178,P＜0.001;t=5.335,P＜0.001,respectively).The incidence rates of postoperative upper limb edema,subcutaneous hydrops and skin flap necrosis in the observation group were lower than those in the control group after surgery,and the differences were statistically significant (χ2=5.192,P=0.023;χ2=6.405,P=0.011；χ2=4.043,P=0.044). Conclusions Strengthening the early stage of rehabilitation exercise can promote the recovery of postoperative motor function of breast cancer patients,improve exercise endurance,and reduce postoperative complications. |
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