重庆医学2017，Vol.46Issue(21)：2917-2920,4.DOI:10.3969/j.issn.1671-8348.2017.21.011
术后早期、阶段性功能锻炼对乳腺癌改良根治术后患侧上肢功能恢复的影响
Effect of postoperatively early stage-function-exercise on recovery of upper limb function of diseased side after breast cancer modified radical mastectomy
摘要
Abstract
Objective To investigate the effect of postoperatively early stage-function-exercise on the recovery of upper limb function of diseased side after breast cancer modified radical mastectomy.Methods One hundred patients with breast cancer admitted to our hospital from January 2013 to June 2016 were collected.All patients underwent modified radical mastectomy.The patients were divided into the observation group and control group after operation,50 cases in each group.The observation group was given the early stage-function-exercise,while the control group received the routine nursing care.The shoulder joint mobility,affected limb edema degree,self-rating anxiety scale (SAS)score,self-rating depression scale (SDS) score and 36-item short-form health survey (SF-36) score were observed in the both groups.Results When compared with the control group,the patients in the observation group got a significant increase in the shoulder joint activity such as antexion,abduction,internal rotation,external rotation,adduction and rear protraction at postoperative 3,6-months (P<0.05).There was no statistically significant difference between the two groups in upper limb volume,SAS score and SDS score before the operation (P>0.05).However,when compared with the control group,the patients in the observation group got a significant decrease of upper limb volume at postoperative 3 months[(1 543.38±414.93) mL vs.(1 635.58±401.58) mL,P=0.000)],a significantly decrease of SAS score[(37.87±6.90) points vs.(44.07±12.32) points,P=0.000)] and SDS score[(38.32±6.65) points vs.(45.02±11.07) points,P=0.000)] at postoperative 6 months,and a significant increase of SF-36 score at postoperative 6 months [(77.52±7.28) points vs.(70.28±7.55) points,P=0.000)].Conclusion Postoperatively early stage-function-exercise can help to improve the shoulder joint activity degree and quality of life,and reduce the limb edema degree after modified radical mastectomy in the patients with breast cancer.关键词
乳腺肿瘤/功能锻炼/乳房切除术,根治性/肩关节活动度Key words
breast neoplasms/functional exercise/mastectomy,radical/shoulder joint activity分类
医药卫生引用本文复制引用
方仁桂,王建军,占小平,王学军,严世立,叶妙满..术后早期、阶段性功能锻炼对乳腺癌改良根治术后患侧上肢功能恢复的影响[J].重庆医学,2017,46(21):2917-2920,4.基金项目
2013年省卫生厅适宜技术科技项目(2013ZHA010). （2013ZHA010）
