乳癌术后专用医疗体操康复训练研究

Application of Medical Gymnastics Based on the Aerobie Exercise in the Recovery of Upper Limbs Functions After Breast Cancer Operation

目的探讨以有氧运动为基础的医疗体操对乳癌术后术侧上肢功能恢复的效果。方法对300例乳癌病人术后采用自行研制的医疗体操(3套18节)进行训练,并分别于术后10 d、4周、12周行术侧上肢肩关节活动度和术侧上肢肌力测量,以及术前、术后12周行术侧上肢和健侧上肢容积测量。结果肩关节活动度和术侧上肢肌力达标率随训练时间的延长显著提高(均P<0.01);康复训练后患侧、健侧上肢容积[(1 512.4±252.4)cm3、(1 518.9±255.9)cm3]比较,差异无显著性意义(P>0.05)。结论医疗体操训练能促进乳癌术后病人肢体功能恢复。

Objective To study the effects of the medical gymnastics based on the aerobie exercise on the recovery of the upper limb function after breast cancer operation. Methods Three hundred women who had received operations for breast cancer were subjected to medical gymnastics (3 sessions and 18 sub-sessions) and the range of motion of should joint and muscle force of upper limbs were measured 10 days, 4 and 12 weeks after the operation. Results The range of motion of shoulder joint and muscle force of operated upper limbs increased linearly with time (all P< 0. 01). After the operation, the volume of upper limbs of the affected and healthy sides was Cd 512. 4±252. 4)cm3, (l 518. 9±255. 9)cm3] and no diffenence was found between them (P>0. 05). Conclusion The medical gymnastics training can help the recovery of upper limbs after breast cancer operation.