中药硬膏穴位贴敷联合中药喷雾治疗乳腺癌术后淋巴水肿疗效观察

摘要

Objective To explore the therapeutic effect of Chinese herbal acupoints combined with traditional Chi-nese medicine spray on postoperative lymphadenopathy of breast cancer. Methods 80 patients with postoperative lym-phadenopathy were enrolled in this study. The patients were randomly divided into control group and observation group, 40 cases in each group. The rats in each group were given routine treatment (physical exercise + air wave pressure cycling). On the basis of this, the control group was treated with placebo, and the observation group was treated with acupoints combined with traditional Chinese medicine spray. The lymphedema of the two groups were observed, and the TCM syndrome scores (edema, pain, limited shoulder movement, fatigue, loss of appetite), upper limb circumference, shoulder mobility and adverse reactions were compared between the two groups. Results The effective rate of the observation group was 95.00％, which was higher than that of the control group (70.00％), the two groups were statistically significant (P<0.01). The TCM syndromes scores of lymphadenopathy after treatment were lower than those before treatment, and the observation group was lower than the control group (P<0.05). The upper limb circumference was smaller than that of the control group (P<0.01). The degree of shoulder joint activity was higher than that of the control group (P<0.05). The adverse reaction rate was 15.00％ in the obser-vation group and 10.00％ in the control group (P>0.05). Conclusion Acupoint application combined with TCM spray can treat the breast cancer patients with postoperative lymphadenopathy. It can help to reduce the symptoms, improve the ability of shoulder activities, less adverse reactions, worthy of clinical promotion.%目的 探讨中药硬膏穴位贴敷与中药喷雾联合应用于乳腺癌术后淋巴水肿的治疗效果.方法 纳入本院收治的80例乳腺癌术后淋巴水肿患者为研究对象,随机分成对照组、观察组各40例.两组术后均予以常规治疗(肢体锻炼+空气波压力循环治疗),对照组在此基础上加用安慰剂穴位贴敷,观察组在常规治疗基础上利用中药硬膏穴位贴敷与中药喷雾联合治疗.观察两组术后淋巴水肿改善效果,并比较两组中医证候积分(水肿、疼痛、肩部活动受限、乏力、食欲不振)、上肢周径、肩关节活动度及不良反应.结果 观察组总有效率95.0％高于对照组70.0％,差异有统计学意义(P<0.01).治疗后,两组各项淋巴水肿中医证候积分较治疗前均明显降低,且观察组各项积分均低于对照组,差异具有统计学意义(P<0.05).两组治疗2周、4周后上肢周径均小于治疗前,且同时段比较观察组小于对照组,差异具有统计学意义(P<0.01).治疗后,两组肩关节活动度均明显提升,且观察组肩关节活动度大于对照组,差异具有统计学意义(P<0.05).观察组不良反应率为15.0％,与对照组10.0％比较差异无统计学意义(P>0.05).结论 临床针对乳腺癌术后淋巴水肿患者可采用中药硬膏穴位贴敷与中药喷雾联合治疗,有利于减轻不适症状,提高肩部活动能力,不良反应较少,值得临床推广.