《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (01): 88-090.

• 临床研究 • 上一篇    下一篇

综合康复对乳腺癌术后淋巴水肿的疗效

丁玎，张勃，谢瑛
   

  1. 首都医科大学附属北京友谊医院康复科，北京市100050。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-01-25 发布日期:2015-01-25

Effect of Comprehensive Rehabilitation on Breast Cancer Related Lymphedema

DING Ding, ZHANG Bo, XIE Ying.
  

  1. Department of Rehabilitation Medicine, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-01-25 Online:2015-01-25

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摘要： 目的探讨综合康复对乳腺癌术后淋巴水肿的治疗效果。方法选择乳腺癌术后出现淋巴水肿的患者70 例分为观察组(n=35)和对照组(n=35)。对照组使用间断气泵压力治疗仪进行压力循环治疗，观察组在此基础上行上肢综合康复，包括淋巴引流、牵伸瘢痕、肌肉牵伸、扩大肩关节活动度、渐进性力量训练、毫米波治疗，健康教育，共8 周。治疗前后分别对患者进行淋巴水肿的发展程度和上肢功能(DASH)评定。结果两组患者淋巴水肿的发展程度和DASH评定评分均较治疗前改善(P<0.05)，且观察组优于对照组(P<0.05)。结论综合康复能进一步减轻乳腺癌术后淋巴水肿的进展，改善上肢功能。

关键词: 乳腺癌, 淋巴水肿, 康复, 上肢

Abstract: Objective To observe the effect of comprehensive rehabilitation on breast cancer related lymphedema. Methods 70 patients with breast cancer related lymphedema were divided into experiment group (n=35) and control group (n=35). Both groups received intermittent pneumatic compression, while the experiment group received comprehensive rehabilitation including manual lymphatic drainage, muscle stretching, expanded the range of motion of shoulder, gradual resistance training, high frequency electrical therapy and health education. They were assessed with Disabilities of Arm, Shoulder and Hand Scale (DASH) and development of lymphedema before and 8 weeks after treatment. Results DASH scores and the development of lymphedema improved in both groups after treatment (P<0.05), and improved more in the experiment group than in the control group (P<0.05). Conclusion Comprehensive rehabilitation can further relieve breast cancer related lymphedema, and improve the upper extremity function.

Key words: breast cancer, lymphedema, rehabilitation, upper extremity