镜像疗法对乳腺癌术后持续性疼痛的效果

doi:10.3969/j.issn.1006-9771.2018.02.003

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (2): 134-137.doi: 10.3969/j.issn.1006-9771.2018.02.003

• 专题乳腺癌术后持续性疼痛及感觉障碍的康复 • 上一篇下一篇

镜像疗法对乳腺癌术后持续性疼痛的效果

谢娜¹, 阮祥梅¹, 陈旦¹, 王鹤玮¹, 贾杰^{1, 2}

1.复旦大学附属华山医院,上海市 200040;
2.上海市静安区中心医院,上海市 200040

收稿日期:2018-01-22 出版日期:2018-02-25 发布日期:2018-03-02
通讯作者: 贾杰。E-mail: shannonjj@126.com
作者简介:谢娜(1989-),女,汉族,山西运城市人,硕士研究生,医师,主要研究方向：乳腺癌康复。
基金资助:
上海市卫生计生系统重要薄弱学科建设项目(No. 2015ZB040)

Effect of Mirror Therapy on Persistent Pain after Breast Cancer Surgery

XIE Na¹, RUAN Xiang-mei¹, CHEN Dan¹, WANG He-wei¹, JIA Jie^{1, 2}

1. Department of Rehabilitation, Huashan Hospital, Fudan University, Shanghai 200040, China;
2. Jing'an District Centre Hospital of Shanghai, Shanghai 200040, China

Received:2018-01-22 Published:2018-02-25 Online:2018-03-02
Contact: JIA Jie. E-mail:shannonjj@126.com

摘要/Abstract

摘要： 目的观察镜像疗法对乳腺癌术后持续性疼痛(PPBCS)的效果。方法 2016年9月至2017年6月,本院门诊62例PPBCS患者随机分为对照组(n=31)和镜像组(n=31)。两组均接受常规康复治疗,镜像组在对照组基础上增加镜像训练30 min,每周5次,共4周。在治疗前,治疗后4周、8周、12周,采用数字分级量表(NRS)评定疼痛严重程度,采用欧洲癌症研究与治疗组织生活质量量表(EORTC QLQ-C30)评定生活质量。结果治疗后8周和12周,镜像组NRS评分低于对照组(F>5.907, P<0.05)。治疗后12周,EORTC QLQ-C30总健康状况评分镜像组高于对照组(t=2.128, P<0.05)。结论镜像疗法能缓解PPBCS,并可能对生活质量有改善。

关键词: 乳腺癌, 术后疼痛, 慢性疼痛, 镜像疗法, 康复

Abstract: Objective To observe the effect of mirror therapy on persistent pain after breast cancer surgery, and to improve the quality of life of the patients.Methods From September, 2016 to June, 2017, 62 patients with persistent pain after breast cancer surgery were selected. They were randomly divided into control group (n=31) and mirror group (n=31). Both groups received routine rehabilitation, and the mirror group received mirror action in addition, 30 minutes every time, five times a week for four weeks. The severity of pain was assessed with Numerical Rating Scale (NRS) before treatment, and four weeks, eight weeks and twelve weeks after treatment. The quality of life was assessed with European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-30 (EORTC QLQ-C30).Results Eight and twelve weeks after treatment, the NRS score was lower in the mirror group than in the control group (F>5.907, P<0.05). Twelve weeks after treatment, the total health status score of EORTC QLQ-C30 was higher in the mirror group than in the control group (t=2.128, P<0.05).Conclusion Mirror therapy could relieve the persistent pain after breast cancer surgery, and may help to improve the quality of life of the patients.

Key words: breast cancer, postoperative pain, chronic pain, mirror therapy, rehabilitation

中图分类号:

R737.9

谢娜, 阮祥梅, 陈旦, 王鹤玮, 贾杰. 镜像疗法对乳腺癌术后持续性疼痛的效果[J]. 《中国康复理论与实践》, 2018, 24(2): 134-137.

XIE Na, RUAN Xiang-mei, CHEN Dan, WANG He-wei, JIA Jie. Effect of Mirror Therapy on Persistent Pain after Breast Cancer Surgery[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(2): 134-137.

参考文献

[1] Wijayasinghe N, Andersen KG, Kehlet H.Anagesic and sensory effects of the Pecs local anesthetic block in patients with persistent pain after breast cancer surgery: a pilot study[J]. Pain Pract, 2017, 17(2): 185-191.
[2] Wang L, Guyatt GH, Kennedy SA.Predictors of persistent pain after breast cancer surgery: a systematic review and meta-analysis of observational studies[J]. CMAJ, 2016, 188(14): E352-E361.
[3] Schreiber KL, Kehlet H, Belfer I.Predicting, preventing and managing persistent pain after breast cancer surgery: the importance of psychosocial factors[J]. Pain Manag, 2016, 4(6): 445-459.
[4] Andersen KG, Kehlet H.Persistent pain after breast cancer treatment: a critical review of risk factors and strategies for prevention[J]. J Pain, 2011, 12(7): 725-746.
[5] Werner MU, Bischoff JM.Persistent postsurgical pain: evidence from breast cancer surgery, groin hernia repair, and lung cancer surgery[J]. Curr Top Behav Neurosci, 2014, 20: 3-29.
[6] Stephens KE, Levine JD, Aouizerat BE, et al.Associations between genetic and epigenetic variations in cytokine genes and mild persistent breast pain in women following breast cancer surgery[J]. Cytokine, 2017, 99: 203-213.
[7] Caromorán E, Díazrodríguez L, Cantarerovillanueva I, et al.Nerve pressure pain hypersensitivity and upper limb mechanosensitivity in breast cancer survivors: a case- control study[J]. Pain Med, 2014, 15(10): 1715-1723.
[8] De Oliveira GS Jr, Chang R, Khan SA, et al. Factors associated with the development of chronic pain after surgery for breast cancer: a prospective cohort from a tertiary center in the United States[J]. Breast J, 2014, 20(1): 9-14.
[9] Roth RS, Qi J, Hamill JB, et al.Is chronic postsurgical pain surgery- induced? A study of persistent postoperative pain following breast reconstruction[J]. Breast, 2017, 37: 119-125.
[10] Ding YY, Yao P, Wu L, et al.Body mass index and persistent pain after breast cancer surgery: findings from the women's healthy eating and living study and a meta-analysis[J]. Oncotarget, 2017, 8(26): 43332-43343.
[11] House G, Burdea G, Grampurohit N, et al.A feasibility study to determine the benefits of upper extremity virtual rehabilitation therapy for coping with chronic pain post- cancer surgery[J]. Br J Pain, 2016, 10(4): 186-197.
[12] Bauml J, Basal C, Mao JJ.Treatment of post-mastectomy pain syndrome with acupuncture: a case report[J]. Acupuncture Med, 2014, 32(2): 183-185.
[13] Bultitude JH, Rafal RD.Derangement of body representation in complex regional pain syndrome: report of a case treated with mirror and prisms[J]. Exp Brain Res, 2010, 204(3): 409-418.
[14] 唐朝正,陈昌成,丁政,等. 基于镜像神经元理论的动作观察在脑卒后肩手综合征疼痛康复中的用[J]. 中国康复医学杂志, 2016, 31(2): 145-149.
[15] 唐朝正,丁政,张晓莉,等. 镜像疗法治疗高位脊髓损伤后上肢Ⅱ型复杂性局部疼痛综合征的有效性:自身交叉对照研究[J]. 中国组织工程研究, 2015, 19(5): 716-720.
[16] 李元青,孙红,薛冬,等. 中药治疗化疗所致周围神经病变的效果[J]. 中国康复理论与实践, 2017, 23(11): 1321-1325.
[17] Andersen KG, Duriaud HM, Kehlet H, et al.The relationship between sensory loss and persistent pain 1 year after breast cancer surgery[J]. J Pain, 2017, 18(9): 1129-1138.
[18] Alkan A, Guc ZG, Senler FC, et al.Breast cancer survivors suffer from persistent postmastectomy pain syndrome and posttraumatic posttraumatic stress disorder (ORTHUS study): a study of the palliative care working committee of the Turkish Oncology Group (TOG)[J]. Support Care Cancer, 2016, 24(9): 3747-3755.
[19] Schreiber KL, Martel MO, Shnol H, et al.Persistent pain in postmastectomy patients: comparison of psychophysical, medical, surgical, and psychosocial characteristics between patients with and without pain[J]. Pain, 2013, 154(5): 660-668.
[20] Van Helmond N, Steegers MA, Filippini-de Moor GP, et al. Hyperalgesia and persistent pain after breast cancer surgery: a prospective randomized controlled trial with perioperative COX-2 inhibition[J]. PLoS One, 2016, 11(12): e0166601.
[21] Hasanzadeh Kiabi F, Habibi MR, Soleimani A, et al.Mirror therapy as an alternative treatment for phantom limb pain: a short literature review[J]. Korean J Pain, 2013, 26(3): 309-311.
[22] McCabe CS, Haigh RC, Ring EF, et al. A controlled pilot study of the utility of mirror visual feedback in the treatment of complex regional pain syndrome (type 1)[J]. Rheumatology (Oxford), 2003, 42(1): 97-101.

镜像疗法对乳腺癌术后持续性疼痛的效果

Effect of Mirror Therapy on Persistent Pain after Breast Cancer Surgery

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