《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (9): 1098-1102.doi: 10.3969/j.issn.1006-9771.2019.09.021

• 临床研究 • 上一篇    下一篇

负压淋巴回流促进系统对乳腺癌术后上肢淋巴水肿的疗效

欧建林1, 龚璇1, 任国兴2, 李晨曦1, 廖维靖1   

  1. 1.武汉大学中南医院,湖北武汉市 430071
    2.武汉市第六医院,湖北武汉市 430015
  • 收稿日期:2018-12-08 修回日期:2019-04-30 出版日期:2019-09-25 发布日期:2019-09-25
  • 通讯作者: 廖维靖,E-mail: weijingliao@sina.com E-mail:weijingliao@sina.com
  • 作者简介:欧建林(1993-),男,汉族,福建莆田市人,硕士研究生,主要研究方向:肿瘤康复、神经康复。

Effect of PhysioTouch on Upper Limb Lymphedema after Breast Cancer Surgery

OU Jian-lin1, GONG Xuan1, REN Guo-xing2, LI Chen-xi1, LIAO Wei-jing1   

  1. 1.Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China
    2.Wuhan Sixth Hospital, Wuhan, Hubei 430015, China
  • Received:2018-12-08 Revised:2019-04-30 Published:2019-09-25 Online:2019-09-25
  • Contact: LIAO Wei-jing, E-mail: weijingliao@sina.com E-mail:weijingliao@sina.com

摘要: 目的 探讨负压淋巴回流促进系统PhysioTouch对乳腺癌术后上肢淋巴水肿的临床疗效。 方法 2017年9月至2018年8月,乳腺癌术后上肢淋巴水肿患者42例随机分为对照组和试验组,每组21例。两组均接受综合消肿疗法,试验组在此基础上加PhysioTouch治疗,共4周。治疗前后分别采用上肢健患侧体积差、臂肩手障碍调查表(DASH)和欧洲癌症研究与治疗组织乳腺癌生活质量问卷(EORTC QLQ‐BR23)进行评定。 结果 治疗后,两组各项指标均显著改善(t > 17.925, P < 0.001),试验组优于对照组(t > 2.407, P < 0.05)。 结论 联合PhysioTouch能进一步改善乳腺癌术后上肢淋巴水肿患者的水肿程度、肩手功能和生活质量。

关键词: 乳腺癌, 淋巴水肿, PhysioTouch, 生活质量

Abstract: Objective To investigate the effect of PhysioTouch on upper limb lymphedema after breast cancer surgery. Methods From September, 2017 to August, 2018, 42 patients with upper limb lymphedema after breast cancer operation were randomly divided into control group (n = 21) and experimental group (n = 21). Both groups accepted complex decongestion therapy, while the experimental group accepted PhysioTouch in addition, for four weeks. They were assessed with difference of upper limb volume, Disabilities of the Arm, Shoulder and Hand (DASH), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire of Breast Cancer (EORTC QLQ‐BR23) before and after treatment. Results All the indexes significantly improved in both groups after treatment (t > 17.925, P < 0.001), and improved more in the experimental group than in the control group (t > 2.407, P < 0.05). Conclusion Combination of PhysioTouch can further relieve upper limb edema after breast cancer operation, and improve their shoulder-hand function and quality of life.

Key words: breast cancer, lymphedema, PhysioTouch, quality of life

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