渐进式康复操对乳腺癌患者术后康复的效果观察

摘要

目的 探讨渐进式康复操对乳腺癌改良根治术患者术后患肢功能康复的临床效果.方法 以收治于第四军医大学附属西京医院行乳腺癌改良根治术的患者为研究对象,选取2013年6月-2014年6月行手术治疗的182例患者为对照组,给予常规术后护理;选取2014年7月-2015年3月行手术治疗的180例患者为观察组,在对照组的基础上进行渐进式康复锻炼指导.比较两组患者上肢水肿、皮下积液的发生情况,以及肩关节活动度、上肢功能评分情况.结果 观察组患者患肢水肿及皮下积液发生率均显著低于对照组,且肩关节活动度、上肢功能评分均优于对照组,差异有统计学意义(P<0.05).结论 渐进式康复操可明显改善乳腺癌改良根治术后患者的上肢功能,促进患者术后肢体功能康复.%Objective To explore the clinical effects of progressive rehabilitation gymnastics on postoperative rehabilitation of breast cancer patients after radical mastectomy.Methods The breast cancer patients admitted to Xijing Hospital, The Fourth Military Medical University were enrolled.The 182 patients hospitalized between June 2013 and June 2014 were assigned to the control group and given the conventional nursing.The 180 patients hospitalized between July 2014 and March 2015 were assigned to the observation group and given progressive rehabilitation gymnastics.Upper extremity edema, subcutaneous hydrops, range of motion (ROM) and upper extremity functions were analyzed to evaluate the effects of rehabilitation gymnastics.Results The incidences of upper extremity edema and subcutaneous hydrops were significantly lower in the observation group than those in the control group, and the score of ROM and upper extremity functions were much better (P<0.05).Conclusion Progressive rehabilitation gymnastics could significantly improve the upper extremity functions and promote the recovery of limb functions in the breast cancer patients after radical mastectomy.