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OA
Clinical Application of Multidimensional Exercise Combined with Traditional Chinese Medicine Hot Compress in Postoperative Rehabilitation of Thyroid Cancer Patients
目的 探讨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应用效果.方法 采用便利抽样法,选取2023年5月至2024年12月在江苏省中医院普外科行甲状腺癌根治术的135例患者,分为对照组、锻炼组、综合组.对照组实施甲状腺癌常规护理,锻炼组在对照组基础上实施多维度功能锻炼方案;综合组在锻炼组基础上于术后前3天实施中药热熨治疗.比较三组患者术后48小时内体位综合征发生率和术后连续3天的视觉模拟量表(visual analogue scale,VAS)评分;比较三组患者干预前及干预后1周、1个月、3个月的肩关节功能评分及颈部活动度.结果 多维度功能锻炼协同中药热熨能有效减轻术后疼痛、降低体位术后综合征发生率,综合组效果优于对照组和锻炼组,差异有统计学意义(P＜0.05).在肩颈功能改善方面,综合组及锻炼组效果优于对照组(P＜0.05);且术后第1周、1个月、3个月时,三组颈部活动度、肩关节功能评定量表评分的时间与组间均存在交互效应(P＜0.05).术后1周,综合组在向健侧屈、向健侧旋转、疼痛、日常生活活动、肩关节活动度及肌力方面优于锻炼组(P＜0.05).结论 多维度功能锻炼协同中药热熨能有效改善甲状腺癌术后体位综合征,缓解术后疼痛,提升患者术后肩关节功能、颈部活动与舒适度,有助于提高生活质量.
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.
李敏;毛珏霞;曾月;朱婷婷;管玥;江志伟;李杰
江苏省中医院普外科,江苏 南京 210029江苏省中医院普外科,江苏 南京 210029江苏省中医院普外科,江苏 南京 210029江苏省中医院普外科,江苏 南京 210029江苏省中医院普外科,江苏 南京 210029江苏省中医院普外科,江苏 南京 210029东南大学附属中大医院心脏外科,江苏 南京 210000
医药卫生
甲状腺癌中药热熨肩关节功能评定颈部活动度
thyroid cancertraditional Chinese medicine hot compressshoulder joint function evaluationneck mobility
《中医肿瘤学杂志》 2025 (5)
14-21,8
国家自然科学基金资助项目(编号:U1704181)河南省国家中医药传承创新中心科研专项(编号:2023ZXZX1016)河南省本科高校青年骨干教师培养计划(编号:2023GGJS083)河南省2025科技发展计划(编号:252102310481)河南省中医药科学研究专项课题(编号:2023ZY2015、2023ZY2004)河南省科技攻关项目(编号:212102311136)河南省高校重点科研项目(编号:24A360006)河南省中医药科学研究专项(编号:20-21ZY1010).
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