摘要
目的:探讨徒手淋巴引流联合抗阻运动对乳腺癌术后患者上肢淋巴水肿、腋网综合征(AWS)及患肢功能的影响。方法:采用便利抽样法选取2021年1-6月广州医科大学附属第二医院乳腺外科收治的50例乳腺癌术后患者作为对照组,另选取2021年7月-2022年3月本院收治的51例乳腺癌术后患者作为干预组。对照组实施术后常规护理干预,干预组在常规护理基础上实施徒手淋巴引流联合抗阻运动。比较两组术后不同时间(术后1周、1个月及3个月)上肢淋巴水肿及AWS发生情况、患肢功能。结果:两组术后1周、1个月上肢淋巴水肿及AWS的发生率比较,差异无统计学意义(P>0.05);但干预组术后3个月上肢淋巴水肿及AWS的发生率低于对照组,差异有统计学意义(P<0.05)。两组术后1周、1个月、3个月患肢功能比较,差异无统计学意义(P>0.05)。结论:徒手淋巴引流联合抗阻运动应用于乳腺癌术后患者对上肢淋巴水肿及AWS有积极的预防作用,可降低上肢淋巴水肿及AWS的发生率。
Objective:To explore the effect of manual lymphatic drainage combined with resistance exercise on upper limb lymphedema,axillary web syndrome(AWS)and affected limb function in postoperative patients with breast cancer.Method:Convenience sampling method was used to select 50 postoperative patients with breast cancer who admitted to the Breast Surgery Department of the Second Affiliated Hospital of Guangzhou Medical University from January to June 2021 as the control group,other 51 patients with breast cancer who treated in our hospital from July 2021 to March 2022 were selected as the intervention group.The control group was given postoperative routine nursing intervention,and the intervention group was given manual lymphatic drainage combined with resistance exercise on the basis of routine nursing.The incidence of upper limb lymphedema and axillary web syndrome(AWS),affected limb function at different time points(1 week,1 month and 3 months after operation)were compared between two groups.Result:There were no significant differences in the incidence of upper limb lymphedema and AWS at 1 week and 1 month after operation between two groups(P>0.05);but the incidence of upper limb lymphedema and AWS at 3 months after operation in the intervention group were lower than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in affected limb function at 1 week,1 month,and 3 months after operation between two groups(P>0.05).Conclusion:The application of manual lymphatic drainage combined with resistance exercise on upper limb lymphedema,axillary web syndrome(AWS)and affected limb function in postoperative patients with breast cancer has a positive preventive effect on upper limb lymphedema and AWS,and reduces the incidence of upper limb lymphedema and AWS.
作者
苏晓坡
郑思娣
邓艳娟
徐晓艳
陈芝清
SU Xiaopo;ZHENG Sidi;DENG Yanjuan;XU Xiaoyan;CHEN Zhiqing(The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China;不详)
出处
《中外医学研究》
2023年第22期93-96,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
广州医科大学附属第二医院护理科研基金项目(A202003)。
关键词
徒手淋巴引流
抗阻运动
乳腺癌
淋巴水肿
Manual lymphatic drainage
Resistance exercise
Breast cancer
Lymphedema
