中医肿瘤学杂志2025，Vol.7Issue(5)：14-21,8.DOI:10.19811/j.cnki.ISSN2096-6628.2025.09.003
多维度功能锻炼协同中药热熨在甲状腺癌患者术后康复中的临床应用
Clinical Application of Multidimensional Exercise Combined with Traditional Chinese Medicine Hot Compress in Postoperative Rehabilitation of Thyroid Cancer Patients
摘要
Abstract
Objective To explore the application effects of multidimensional exercise combined with traditional Chinese medicine(TCM)hot compress on postoperative recovery in thyroid cancer patients.Methods A convenience sample of 129 patients undergoing radical thyroid cancer surgery in the general surgery department of Jiangsu Provincial Hospital from May 2023 to December 2024 were randomly divided into three groups:the control group,the exercise group,and the comprehensive group.The control group received routine care for thyroid cancer,whereas the exercise group and the comprehensive group were provided with multidimensional exercise program,and the comprehensive group received TCM hot compress therapy for the first three postoperative days in addition.The incidences of postoperative postural syndrome within 48 hours after surgery and visual analogue scale(VAS)scores for three consecutive days were compared in the three groups.Furthermore,shoulder function scores and neck mobility were compared among the three groups before the intervention and at one week,one month,and three months after intervention.Results The combination of multidimensional exercise and TCM hot compress effectively reduced postoperative pain and the incidence of postural syndrome.The comprehensive group showed better outcomes than either the control group or the exercise group,with a statistically significant difference(P＜0.05).In terms of enhancing shoulder and neck function,both the comprehensive group and the exercise group demonstrated superior results compared with the control group(P＜0.05).Furthermore,at one week,one month,and three months post-surgery,there was a significant interaction effect between time and group for both neck mobility and shoulder joint function assessment scores(P＜0.05).At one week post-surgery,the comprehensive group outperformed the exercise group in terms of flexion and rotation towards the healthy side,pain reduction,daily living activities,shoulder joint mobility,and muscle strength(P＜0.05).Conclusion Multidimensional exercise combined with TCM hot compress can effectively alleviate postoperative postural syndrome in patients with thyroid cancer,reduce postoperative pain,enhance shoulder joint function and neck mobility,increase comfort,and improve the quality of life.关键词
甲状腺癌/中药热熨/肩关节功能评定/颈部活动度Key words
thyroid cancer/traditional Chinese medicine hot compress/shoulder joint function evaluation/neck mobility分类
医药卫生引用本文复制引用
李敏,毛珏霞,曾月,朱婷婷,管玥,江志伟,李杰..多维度功能锻炼协同中药热熨在甲状腺癌患者术后康复中的临床应用[J].中医肿瘤学杂志,2025,7(5):14-21,8.基金项目
国家自然科学基金资助项目(编号:U1704181) （编号:U1704181）
河南省国家中医药传承创新中心科研专项(编号:2023ZXZX1016) （编号:2023ZXZX1016）
河南省本科高校青年骨干教师培养计划(编号:2023GGJS083) （编号:2023GGJS083）
河南省2025科技发展计划(编号:252102310481) （编号:252102310481）
河南省中医药科学研究专项课题(编号:2023ZY2015、2023ZY2004) （编号:2023ZY2015、2023ZY2004）
河南省科技攻关项目(编号:212102311136) （编号:212102311136）
河南省高校重点科研项目(编号:24A360006) （编号:24A360006）
河南省中医药科学研究专项(编号:20-21ZY1010). （编号:20-21ZY1010）
