乳腺癌术后早期阶段性系统性患肢功能康复锻炼

Early Exercises of Affected Arm for Postoperative Breast Cancer Patients

目的探讨乳腺癌术后早期阶段性系统性功能锻炼对患肢日常活动的影响。方法乳腺癌改良根治术后患者100例分为对照组和实验组各50例,对照组行常规护理,实验组行早期阶段性系统性患肢康复训练。4周后分别评定患侧上肢肩关节活动度和改良Barthel指数。结果实验组90%肩关节活动度改善,对照组为70%(P<0.05);实验组改良Barthel指数为(84.5±18.2),优于对照组(51.8±16.6)(P<0.05)。结论早期阶段性系统性功能康复训练能改善乳腺癌术后患肢功能。

Objective To explore the effect of early systemic phased exercise post mastectomy on the recovery of activities of daily liv- ing. Methods 100 patients who received modified radical mastectomy were assigned to the experimental group and control group with 50 patients in each group. They all accepted routine nursing, and the experimental group accepted early systemic phased exercise in addition. They were assessed with range of motion （ROM） of shoulder and modified Barthel Index （MBI）. Results ROM of shoulder improved in 90% of the experimental group and 70% of the control group （P〈0.05）. MBI was （84.5± 18.2） in the experimental group and （51.8± 16.6） in control group （P〈0.05） . Conclusion Early systemic phased exercises may promote the recovery of the affected arm for the patients post mastectomy.