等速肌力训练对乳腺癌术后淋巴水肿的疗效观察

摘要

目的：探讨肩关节内收等速肌力训练对乳腺癌术后淋巴水肿的影响。方法：乳腺癌术后并发上肢水肿患者68例，随机分为等速组和对照组，每组各34例。2组均给予常规康复训练，等速组在此基础上进行肩关节内收等速肌力训练。训练前后采用放射性核素淋巴扫描观测2组患侧上肢淋巴流量的变化；在腕横纹上10cm处测量2组双侧上臂周径；应用等速肌力测试系统为等速组记录等速肌力测定值。结果：治疗2个月后，2组患者上肢淋巴流量均较组内治疗前增加（P＜0．05），双侧上臂周径差值均较组内治疗前减小（P＜0．05），与对照组治疗后比较，等速组上肢淋巴流量较大（P＜0．05），双侧上臂周径差值较小（P＜0．05）。治疗后，等速组患者等速肌力测量值（峰力矩、总功率、平均功率）均较治疗前明显增加（P＜0．05）。结论：肩关节内收等速肌力训练可以增加乳腺癌术后患侧上肢淋巴回流量，有效减少淋巴水肿。%Objective:To evaluate the efficacy of isokinetic training to pectoralis major & minor for improving the lymphedema after surgery of breast cancer .Methods:Sixty‐eight patients with lymphedema of the upper limbs fol‐lowing surgery of breast cancer were randomly allocated into control group and isokinetic group .Both groups re‐ceived normal rehabilitation training ,and isokinetic group was given isokinetic training additionally .The lymphatic return and the circumference of the upper limbs were recorded before and after the training .The maximum torque (MT) ,the total work (TW) ,and the average work (AW) were recorded in the isokinetic group before and after the training .Results:Two months after treatment ,lymphatic return and circumference of the upper limbs in both two groups were improved as compared with those pretreatment (P<0 .05) ,more significantly in the isokinetic group than in the control group (P<0 .05) .After training ,average MT ,TW and AW were increased significantly in the isokinetic group as compared with those before training (P<0 .05) .Conclusion:Isokinetic training for pectoralis major & minor can increase the lymphatic return ,and alleviate the lymphedema .