渐进性康复锻炼对乳腺癌患者术后患侧肢体功能恢复的影响

Effect of progressive rehabilitation exercise on functional recovery of affected limbs in patients with breast cancer after operation

目的探讨渐进性康复锻炼对乳腺癌患者术后患侧肢体功能恢复的影响。方法选取2017年1月至2017年12月间陕西省肿瘤医院收治的行术后常规康复锻炼的72例乳腺癌患者为对照组,另选2018年1月至2018年12月间行术后渐进性康复锻炼的81例乳腺癌患者为观察组,比较两组患者对康复锻炼的依从性、患侧肢体水肿程度及功能恢复情况。结果术后1个月,观察组患者康复锻炼依从率为92. 6%,高于对照组的75. 0%,差异有统计学意义(P <0. 05)。术后1个月,两组患者患侧肢水肿情况比较,差异无统计学意义(P>0. 05);术后3个月,观察组患者优于对照组,差异有统计学意义(P <0. 05)。观察组患者患侧肢在1个月和3个月时的关节活动度及手指爬墙高度均优于对照组,差异均有统计学意义(均P <0. 05)。观察组患者术后3个月上肢功能评分为(21. 2±3. 1)分,对照组为(44. 6±3. 2)分,两组比较,差异有统计学意义(P <0. 05)。观察组患者出现皮下积液1例,皮瓣坏死1例,并发症发生率为2. 5%。对照组患者出现皮下积液4例,皮瓣坏死3例,出血2例,并发症发生率为12. 5%,两组比较,差异有统计学意义(P <0. 05)。结论渐进性康复锻炼能调动乳腺癌患者术后康复锻炼的积极性,降低患侧肢体并发症发生率,促进患侧肢体功能恢复。

Objective To explore the effect of progressive rehabilitation exercise on functional recovery of affected limbs in patients with breast cancer after operation. Methods Seventy-two breast cancer patients who received routine rehabilitation exercises after surgery at Shaanxi Cancer Hospital from January2017 to December 2017 were included in a control group,and 81 breast cancer patients who received progressive rehabilitation exercises from January 2018 to December 2018 were included in an observation group. The compliance of patients to rehabilitation exercise,the degree of edema of the affected limb and functional recovery were compared between the two groups. Results At 1 month after the operation,the compliance rate with rehabilitation exercise was 92. 6% in the observation group which was significantly higher than 75. 0% of the control group( P < 0. 05). There was no significant difference in the edema of affected limbs between the two groups at 1 month after the operation( P > 0. 05). The edema of affected limbs was better in the observation group than in the control group at 3 months after operation( P < 0. 05). Joint activity and height in climbing were better in the observation group than in the control group at 1 month and 3 months after the operation( all P < 0. 05). Upper extremity functional score was 21. 2 ± 3. 1 in the observation group and 44. 6 ± 3. 2 in the control group( P < 0. 05). Subcutaneous fluid occurred in 1 patient and flap necrosis occurred in 1 patient in the observation group. Subcutaneous fluid occurred in 4 patients,flap necrosis occurred in 3 patients and haemorrhage occurred in 2 patients in the control group. The incidence of complications was 2. 5% in the observation group and 12. 5% in the control group( P < 0. 05). Conclusion Progressive rehabilitation exercise can arouse the enthusiasm of rehabilitation exercise,reduce the incidence of complications,and promote functional recovery of affected limbs in breast cancer patients after operation.