摘要
目的探讨健康教育联合负压理疗对乳腺癌患者术后淋巴水肿患者的临床疗效。方法选取2021年5月—2022年5月于绍兴第二医院医共体总院收治的乳腺癌患者术后淋巴水肿102例患者为研究对象,且将其随机分成对照组50例、观察组52例,对照组患者采用负压理疗进行治疗,观察组患者则采取在对照组的基础上联合健康教育给予治疗,检测两组患者周径、肩关节活动度、生活质量评分、组织水分比率、手术3、6、12个月后淋巴水肿发生率及临床治疗效果变化情况。结果治疗后两组患者手虎口(22.34±1.48 vs.20.69±1.20)、腕横纹上的5 cm(23.34±1.50 vs.21.23±1.28)、肘横纹下的10 cm(26.14±2.10 vs.24.02±1.81)、腋窝的周径(30.35±2.62 vs.27.57±2.19)及术后6、12个月的淋巴水肿发生率(28.00%vs.9.62%;36.00%vs.13.46%)有所降低,外展(72.94±8.48 vs.80.46±9.20)、内收(26.87±3.30 vs.30.53±3.88)、后伸(38.14±3.27 vs.42.72±3.76)、前屈上举(150.68±7.22 vs.158.47±8.09)、社会家庭情况(23.35±5.48 vs.28.12±5.80)、生理情况(25.37±3.30 vs.29.33±3.88)、功能情况(20.14±4.30 vs.25.80±4.76)、情感情况(20.48±3.22 vs.24.38±4.19)及组织水分比率(6.83±2.24 vs.4.46±2.06)水平有所上升,且观察组较对照组低,差异有统计学意义(P<0.05)。术后3个月的淋巴水肿发生率(8.00%vs.3.85%),差异无统计学意义(P>0.05)。与对照组相比,观察组患者临床治疗效果(37 vs.48)较高,差异有统计学意义(P<0.05)。结论通过健康教育联合负压理疗进行治疗,可有效改善乳腺癌患者术后淋巴水肿患者的生活水平质量,提升肩关节的活动程度,减少淋巴水肿状况的发生,以增强临床疗效。
Objective To explore the clinical effect of health education combined with negative pressure physiotherapy on postoperative lymphedema patients with breast cancer.Methods102 cases of postoperative lymphedema of breast cancer patients admitted to our hospital from May 2021 to May 2022 were selected as research objects,and they were randomly divided into control group(50 cases)and study group(52 cases).Patients in the control group were treated with negative pressure physiotherapy,and patients in the study group were treated with combined health education on the basis of the control group.The changes of circumferential diameter,shoulder range of motion,quality of life score,tissue moisture ratio,lymphedema incidence 3,6 and 12 months after surgery,and clinical treatment effect were detected in the two groups.Results After treatment,patients in the two groups had hand jaws(22.34±1.48 us.20.69±1.20),wrist stripes 5 cm(23.34±1.50 us.21.23±1.28),and elbow stripes 10 cm(26.14±2.10 us.24.02±1.81),axillary circumference(30.35±2.62 vs.27.57±2.19),incidence of lymphedema 6 and 12 months after surgery(28.00%us.9.62%,36.00%us.13.46%)has been reduced,Abduction(72.94±8.48 vs.80.46±9.20),adduction(26.87±3.30 vs.30.53±3.88),extension(38.14±3.27 us.42.72±3.76),flexion and lift(150.68±7.22 us.158.47±8.09),social and family conditions(23.35±5.48 us.28.12±5.80),physiological conditions(25.37±3.30 us.29.33±3.88),functional conditions(20.14±4.30 us.25.80±4.76),emotional status(20.48±3.22 us.24.38±4.19),tissue moisture ratio(6.83±2.24 us.4.46±2.06)increased,and the study group was lower than the control group,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of lymphedema 3 months after surgery(8.00%us.3.85%),the difference is statistically significant(P>0.05).Compared with the control group,the clinical therapeutic effect of the study group was higher(92.31%us.74.00%),with statistical difference(P<0.05).Conclusion Health education combined with negative p
作者
李泽芳
傅海娜
熊中奎
LI Ze-fang;FU Hai-na;XIONG Zhong-kui(Department of Oncology,Shaoxing Second Hospital,Shaoxing,Zhejiang 312000,China)
出处
《中国妇幼保健》
CAS
2023年第20期4022-4026,共5页
Maternal and Child Health Care of China
基金
浙江省公益技术应用研究资助项目(LGF19H160016)。
关键词
乳腺癌
淋巴水肿
健康教育
负压理疗
Breast cancer
Lymphedema
Health education
Negative pressure physical therapy
