中药熨改善乳癌术后上肢淋巴水肿及上肢功能的效果观察

Observation on Upper Limb Lymphedema Relief and Upper Limb Function Improvement of Postoperative Breast Cancer Patients by Traditional Herbal Medicine Ironing Therapy

目的：观察中药五籽散药熨治疗与空气波压力治疗对改善乳癌术后上肢淋巴水肿及上肢功能的效果差别。方法：采用方便抽样法抽取乳癌术后上肢淋巴水肿患者92例，随机分为药熨组和气压组，分别接受中药五籽散药熨治疗与空气波压力治疗，测量患肢周径，用上肢功能状况量表（KAPS）评估症状和功能，比较两组患者惠肢淋巴水肿缓解效果及症状功能改善效果的差别。结果：两组患者患肢周径均减少，药熨组患肢周径减少更显著，比较有显著性差异（P〈0．05）；两组患者治疗三个月后上肢功能状况量表（KAPS）得分均明显降低，且药熨组得分比气压组低，比较有显著性差异（P〈0．05），药熨组患者功能改善更显著。结论：中药五籽散药熨治疗和空气波压力治疗均可缓解乳癌术后上肢淋巴水肿，并促进惠肢症状和功能的改善，且中药五籽散药熨治疗的效果更加显著。

Objective： To observe the differences on relieving lymphatic edema of upper limb and improving upper limb function of postoperative breast cancer patients by traditional herbal med- icine ironing therapy and the air pressure pulse therapy. Methods： 92 postoperative breast cancer pa- tients with lymphatic edema of upper limb were randomized grouping into experimental group and control group. Experimental group received traditional herbal medicine ironing therapy; control group received the air pressure pulse therapy. Two groups were measured perimeter of upper limb, evaluated symptoms and function of upper limb, then compared the differences on upper limb lymphedema relief and upper limb function improvement. Results： The upper limb perimeter of two groups was reduced, experimental group reduced more significantly （P〈0.05）. The KAPS scores of two groups were reduced after received treatments three months later, experimental group reduced more significantly （P〈0.05）, which meant the function of experimental group improved more signif- icantly. Conclusion： Both the traditional herbal medicine ironing therapy and the air pressure pulse therapy could relieve lymphatic edema of upper limb and improve upper limb function of postopera- tive breast cancer patients, and the effect of traditional herbal medicine ironing therapy was more re- markable.