早期功能锻炼对乳癌患者术后患肢功能恢复的作用

Role of early functional training in function recovery of involved upper extremities of breast cancer patients after operation

目的观察早期功能锻炼对乳腺癌患者术后患侧上肢功能恢复的情况。方法选择110例乳腺癌患者,依其知情同意分为功能锻炼组(60例)和对照组(50例)。术前两组患者的年龄、术前患侧上肢活动度差异均无统计学意义(P>0.05),功能锻炼组在专业人员指导下进行术前、术后患侧上肢锻炼,对照组只测定术前、术后患侧上肢活动范围,进行常规功能锻炼,观察术后第4、7、12d患侧上肢功能恢复效果。结果功能锻炼组中49例达优(69.01%),术后第7d患侧上肢能独立完成日常生活所需动作,能忍受术后疼痛;50例对照组中有22人达优(30.99%),对疼痛较敏感,恐惧术后上肢活动。功能锻炼组患侧上肢主动活动度、功能恢复和对疼痛的耐受程度均优于对照组(P<0.05)。结论乳腺癌患者早期上肢功能锻炼,有利于术后患侧上肢功能恢复。

Objective To observe the role of early function training in function recovery of involved upper extremities of breast cancer patients after operation. Methods One hundred and ten breast cancer patients were divided into function training group（n=60） and control group（n=50） with no difference in age and mobility of involved upper extremities before operation. Patients in function training group and control group were asked to do special and routine function recovery exercises of the involved upper extremities, respectively, before and after operation. Mobility of the involved upper extremities in both groups was measured to observe function recovery of the involved upper extremities on days 4, 7 and 12, respectively, after operation. Results Excellent outcomes were achieved in 49（69.01%） and 22（30.99%） patients of the function training and control groups, respectively, after operation. The involved upper extremities of patients in the function training group could perform various activities needed in their daily life although still had a tolerable pain. Those in the control group were sensitive to pain and afraid of doing exercises with their upper extremities. The activity and function recovery of the involved upper extremities were better in training group than in control group（P〈0.05）. Conclusion Early function training of the involved upper extremities of breast cancer patients after operation is beneficial for their function recovery.