乳腺癌根治术后不同阶段有氧组合运动对患者康复状况的影响

Impact analysis of aerobic exercises for patients' recovery after different stages of radical mastectomy

目的探讨乳腺癌根治术后不同阶段有氧组合运动对患者康复状况的影响。方法纳入2009年1月至2014年1月间收治的乳腺癌根治术患者90例。根据患者术后开始进行有氧组合运动的时间分为研究组和对照组,每组45例。研究组患者在术后半年进行有氧组合运动,对照组患者则在术后1年进行有氧组合运动。观察两组患者有氧组合运动4个月后患侧肢体肌力、肩关节活动度(ROM)、肺活量以及生活质量状况等。结果研究组患者前屈、后伸、内收、外展、内旋、外旋等ROM分别为(103.61±8.47)度、(28.95±6.49)度、(17.87±4.46)度、(90.00±15.67)度、(42.72±10.20)度、(48.83±11.34)度,对照组患者分别为(11.82±7.15)度、(5.00±0.82)度、(1.32±0.15)度、(9.15±1.95)度、(1.32±1.02)度、(4.66±0.51)度,差异有统计学意义(P<0.05);研究组患者肺活量为(323.09±92.15)ml,对照组患者肺活量为(282.60±82.98)ml,差异有统计学意义(P<0.05);有氧组合运动后,研究组患者生理状况、社会及家庭状况、情感状况、功能状况、附加关注评分分别为(23.17±1.32)分、(23.35±0.96)分、(21.55±1.11)分、(20.57±0.90)分和(29.20±1.15)分,对照组患者分别为(20.36±1.10)分、(21.37±0.87)分、(19.68±0.79)分、(19.05±0.77)分和(26.69±1.13)分,差异有统计学意义(P<0.05)。结论乳腺癌根治术后早期进行有氧组合运动,能够有效恢复患者患肢肩关节的活动度,改善患侧肢体功能,提高患者术后生活质量。

Objective To study the impacts of aerobic exercises for patients＇ recovery after different stages of radical mastectomy. Methods 90 patients receiving radical mastectomy were selected and divid- ed into research group and control group according to the start time of aerobic exercises. The research group took the aerobic exercises after half year of radical mastectomy; the control group took the aerobic exercises after one year of radical mastectomy. After 4 mo of exercises, the strength of contralateral limb, range of motion （ROM）, vital capacity and life quality of the two groups were observed and compared. Results The ROM of anteflexion, rear protraction, adduction, abduction, pronation and extorsion of the research group were （ 103.61± 8.47 ） , （28.95±6. 49 ） , （ 17.87± 4. 46 ） , （ 90. 00 ±15.67 ）, （42. 72±10.20） and （48.83 ±11.34） while the control group were （11.82±7.15）, （5.00 ±0.82）, （1.32±0. 15 ）, （ 9. 15±1. 95 ）, （ 1.32± 1.02 ） and （ 4.66 ±O. 51 ）, with significant differences （ P 〈 O. 05 ） ; the vital capacity of research group was （ 323.09± 92. 15 ） ml and vital capacity of control group was （282. 60± 82.98） ml, with significant differences （ P 〈 O. 05 ） ; after aerobic exercises, the scores of physi- ological status, social/family status, emotions, functional status and additional focus of the research group were （23.17±1.32）,（23.35±0.96）, （21.55 ±1.1）, （20.57±0.90） and （29.20±1.15）; the scores ot the control group were （20. 36 ± 1.10）, （21.37 ±0. 87 ）, （ 19. 68±0. 79 ）, （ 19. 05±0. 77 ） and （26. 69 ± 1.13 ）, with significant differences （ P 〈 0. 05 ）. Conclusions After radical mastectomy, aerobic exercises at an earlier stages can effectively recover the patients＇ ROM, and improve the functions of contralateral limbs as well as life quality.