经皮穴位电刺激干预乳腺癌术后早期患肢肿胀的临床研究

Clinical Study on Transcutaneous Electric Acupoint Stimulation for Swelling Limb after Breast Cancer Operation

目的观察经皮穴位电刺激干预乳腺癌术后患者早期患肢肿胀的临床疗效。方法将100例乳腺癌根治术后患者分为治疗组和对照组,每组50例。对照组采用术后常规护理,治疗组在对照组治疗基础上采用经皮穴位电刺激治疗。通过测量患者双上肢6点臂围,比较两组患者术后2星期患肢肿胀的发生率及程度,同时观察患肢有无皮肤紧绷感、上肢疼痛感、上肢麻木感及上肢沉重感等伴随症状。结果治疗组患肢异常自觉感受及伴随症状发生率为22.0%,对照组为84.0%,两组比较差异具有统计学意义(P<0.01)。治疗组患肢肿胀发生率为4.0%,对照组为24.0%,两组比较差异有统计学意义(P<0.01)。结论经皮穴位电刺激能有效预防和缓解乳腺癌术后患者早期患肢肿胀。

Objective To observe the clinical efficacy of transcutaneous electric acupoint stimulation in intervening early-stage swelling limb after breast cancer operation. Method A hundred patients undergone radical mastectomy for breast cancer were divided into a treatment group and a control group, 50 cases in each group. The control group was intervened by ordinary post-operative nursing, while the treatment group was additionally given transcutaneous electric acupoint stimulation. By measuring the circumference of both upper arms, the incidence rate and degree of swelling arm in 2 weeks after operation were compared, meanwhile, the accompanied symptoms such as tightness of skin, pain in upper limb, numbness in upper limb, and heaviness of upper limb were observed. Result The occurrence rate of abnormal upper-limb sensations was 22.0% in the treatment group versus 84.0% in the control group, and the difference was statistically significant（p〈0.01）. The occurrence rate of upper-limb swelling was 4.0% in the treatment group, versus 24.0% in the control group, and the difference was statistically significant（p〈0.01）. Conclusion Transcutaneous electric acupoint stimulation can effectively prevent and release the early-stage upper-limb swelling after breast cancer surgery.