摘要
目的:观察加味五子散热熨联合综合康复措施促进乳腺癌术后康复的效果。方法:将108例乳腺癌术后患者随机分为对照组和观察组各54例。2组均给予综合康复措施,如予布洛芬缓释片、氨酚曲马多片控制疼痛,以绷带加压包扎,并结合空气压力泵治疗仪缓解淋巴水肿,循序渐进地进行康复锻炼,并给予常规术后护理措施;观察组加用加味五子散热熨。2组疗程均为4周。于治疗前与治疗7 d、14 d、28 d评定手术部位疼痛视觉模拟评分法(VAS)评分,统计淋巴水肿的发生率;治疗前后使用上肢功能评定量表(DASH)评价上肢活动情况。统计并比较2组患者对护理措施的满意度。结果:治疗后,2组VAS评分均逐渐下降(P<0.01),与治疗前比较,差异均有统计学意义(P<0.01)。治疗7 d、14 d、28 d,观察组的VAS评分均低于对照组,差异均有统计学意义(P<0.01)。治疗14 d和28 d,观察组淋巴水肿的发生率分别为24.07%和5.56%,低于同期对照组的44.44%和22.22%,差异均有统计学意义(P<0.05)。2组DASH评分均较治疗前下降(P<0.01),观察组DASH评分低于对照组(P<0.01)。观察组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:在常规综合康复措施的基础上加用加味五子散热熨干预乳腺癌术后患者,能显著减轻术后疼痛程度,减少上肢肿胀的发生,促进上肢活动功能的恢复,有利于患者的康复,并能提高患者对护理措施的满意度。
Objective:To observe hot medicinal compress of modified Wuzi powder combined with comprehensive rehabilitation measures on promoting rehabilitation after surgery of breast cancer.Methods:A total of 108 cases of patients after surgery of breast cancer were randomly divided into the control group and the observation group,54 cases in each group.Both groups were given comprehensive rehabilitation measures,such as the oral administration of ibuprofen sustained-release tablets and tramadol hydrochloride-paracetamol tablets to control pain,compression bandaging with bandage assisted by air pressure pump to relieve lymphedema,as well as gradual rehabilitation exercise,and were treated with routine postoperative nursing measures;the observation group was additionally given hot medicinal compress of modified Wuzi powder.Both groups were treated for four weeks.Before treatment and on the 7th,14th,and 28th days of treatment,the scores of Visual Analogue Scale(VAS)for pain in surgical site were evaluated,and the incidence of lymphedema was counted;before and after treatment,the motion of the upper limbs was evaluated via Disabilities of the Arm,Shoulder and Hand(DASH)questionaire.The satisfaction toward nursing measures was counted and compared between the two groups.Results:After treatment,the scores of VAS in the two groups were gradually decreased(P<0.01),and compared with those before treatment,there was significance in differences(P<0.01).On the 7th,14th,and 28th days of treatment,the score of VAS in the observation group was lower than that in the control group,differences being significant(P<0.01).On the 14th and 28th days of treatment,the incidences of lymphedema in the observation group were 24.07%and 5.56%respectively,lower than those of 44.44%and 22.22%in the control group at the same period,differences being significant(P<0.05).The scores of DASH in the two groups were decreased when compared with those before treatment(P<0.01),and the score in the observation group was lower than that in the control group(P<0.01
作者
韩晓霞
赵紫昊
易利霞
薛慧莹
曹予文
HAN Xiaoxia;ZHAO Zihao;YI Lixia;XUE Huiying;CAO Yuwen
出处
《新中医》
CAS
2020年第12期160-163,共4页
New Chinese Medicine
关键词
乳腺癌
术后康复
淋巴水肿
加味五子散
中药热熨
中医护理
上肢功能
Breast cancer
Postoperative rehabilitation
Lymphedema
Modified Wuzi powder
Chinese herbal hot medicinal compress
Chinese medicine nursing
Function of the upper limbs
