《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (11): 1093-1095.

• 论文 • 上一篇    下一篇

乳腺癌术后开始康复训练的时间对患肢功能恢复的影响

焦俊琴，谢艳丽，王建新
   

  1. 河北医科大学第四医院乳腺中心，河北石家庄市050035。
  • 收稿日期:2013-02-01 修回日期:2013-02-28 出版日期:2013-11-25 发布日期:2013-11-25

Time to Start Rehabilitation after Mastectomy for Affected Limb Function

JIAO Jun-qin, XIE Yan-li, WANG Jian-xin.
   

  1. Breast Center of the Fourth Hospital of Hebei Medical University, Shijiazhuang 050035, Hebei, China
  • Received:2013-02-01 Revised:2013-02-28 Published:2013-11-25 Online:2013-11-25

摘要： 目的探讨乳腺癌术后开始康复训练的时间对患肢功能恢复的影响。方法乳腺癌改良根治术后患者90 例，随机分A、B、C组各30 例。分别于术后第1 天、第3 天、第10 天开始按统一制定的康复训练计划实施功能锻炼。术后第1、3、6 个月末采用日本骨科协会(JOA)肩关节评分法进行评定。结果术后第1 个月末，A组与B组JOA评分明显高于C组(P<0.01)；术后第3 个月末A组JOA评分明显高于B组和C组(P<0.01)；术后第6 个月末3 组间JOA评分无显著性差异(P>0.05)。结论乳腺癌术后康复训
练开始时间越早越好。

关键词: 乳腺癌, 改良根治术, 肩关节, 早期康复

Abstract: Objective To explore the effect of rehabilitation training start time after mastectomy on the recovery of the affected limb function. Methods 90 patients who received modified radical mastectomy were divided into groups A, B and C randomly. All the patients accepted the unified rehabilitation program, but started 1, 3 and 10 d after the operation respectively. They were evaluated with the Japanese Orthopaedics Association (JOA) assessment for affected shoulder 1, 3 and 6 months after operation. Results The score of JOA was the least in the group C (P<0.01) 1 month after operation, and was the most in the group A 3 months after operation (P<0.01). At the end of the 6th month, there was no difference among these groups (P>0.05). Conclusion The rehabilitation training can be started as early as possible.

Key words: breast cancer, modified radical mastectomy, shoulder joint, early rehabilitation