加味四子散热熨联合综合康复措施对乳腺癌术后康复效果分析

Analysis of the Effect of Jiawei Sizi Cooling Iron Combined with Comprehensive Rehabilitation Measures on Postoperative Rehabilitation of Breast Cancer

目的分析加味四子散热熨联合综合康复措施对乳腺癌术后康复的临床价值.方法选择2019年1月—2020年12月我院收治的乳腺癌术后患者60例,依据手术先后顺序分为对照组与观察组,各30例.对照组采用综合康复措施,观察组在对照组基础上联合加味四子散热熨治疗.分析两组的治疗效果.结果治疗前,两组患者的症状积分、视觉模拟评分(VAS)、上肢功能障碍评定(DASH)量表评分比较,差异无统计学意义(P>0.05);治疗后,观察组的胸闷肋胀、肢体麻木积分、VAS评分低于对照组,DASH评分高于对照组,差异有统计学意义(P<0.05).治疗7 d后,两组患者的淋巴水肿发生率比较,差异无统计学意义(P>0.05),治疗14 d后,观察组患者的淋巴水肿发生率低于对照组,差异有统计学意义(P<0.05).结论加味四子散热熨联合综合康复措施对乳腺癌术后康复作用显著,可提高患者上肢功能,减轻疼痛程度,减少淋巴水肿发生率,值得推广.

Objective To analyze the clinical value of Jiawei Sizi cooling iron combined with comprehensive rehabilitation measures for postoperative rehabilitation of breast cancer.Methods A total of 60 postoperative patients with breast cancer who were treated in our hospital from January 2019 to December 2020 were selected and divided into a control group and an observation group according to the sequence of operations,with 30 cases in each group.The control group was treated with comprehensive rehabilitation measures,while the observation group was treated with Jiawei Sizi cooling iron treatment on the basis of the control group.The treatment effects of the two groups were analyzed.Results Before treatment,the symptom scores,visual analogue scale(VAS)and disability of arm shoulder and hand(DASH)score of the two groups were compared,the difference was statistically significant(P>0.05);after treatment,the chest tightness and rib distention,limb numbness score and VAS score in the observation group were lower than those in the control group,and the DASH score was higher than that in the control group,and the differences were statistically significant(P<0.05).After 7 d of treatment,there was no statistically significant difference in the incidence of lymphedema between the two groups(P>0.05),and after 14 d of treatment,the incidence of lymphedema was lower in the observation group than in the control group,and the difference was statistically significant(P<0.05).Conclusion Jiawei Sizi cooling iron combined with comprehensive rehabilitation measures has a significant effect on postoperative rehabilitation of breast cancer,can improve upper limb function,reduce pain,and reduce the incidence of lymphedema,which is worthy of promotion.