个性化康复锻炼促进乳腺癌患者改良根治术后患肢康复

Individual rehabilitation program promotes postoperative recovery of limb function in patients undergoing modified radical mastectomy for breast cancer

目的探讨个性化康复锻炼对乳腺癌患者改良根治术后肢体功能康复的影响。方法选取2014年3月至2015年3月间桂林市中医医院收治的200例行乳腺癌改良根治术患者,采用Excel软件的rand函数表随机分为观察组和对照组,每组100例。观察组患者分四阶段给予个性化康复锻炼。对照组患者按常规方法指导锻炼,比较两组患者术后并发症和患肢功能康复状况。结果观察组患者术后患肢前屈、后伸和外展等肩关节活动度明显优于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者术后患肢淋巴水肿发生率明显低于对照组患者,差异有统计学意义(P<0.05)。结论个性化康复锻炼能改善乳腺癌患者改良根治术后患肢水肿,促进患者上肢功能恢复,提高患者生活质量。

Objective To explore the effect of individualized rehabilitation exercise on the rehabilitation of wounded limb function in breast cancer patients after modified radical mastectomy. Methods Two hundred breast cancer patients after modified radical mastectomy were selected from Guilin Traditional Chinese Medical Hospital between March 2014 and March 2015. Using the rand function table of Excel software,patients were randomly divided into an observation group and a control group with 100 patients in each group. The observation group was given 4-stage personalized rehabilitation exercise and the control group was treated with general exercise. Postoperative complications and limb function were compared after treatment. Results The shoulder activities including limb proneness,backward extension and abduction were better in the observation group than in the control group（ all P 〈 0. 05）. The incidence of lymphedema was statistically lower in the observation group than in the control group（ P 〈 0. 05）. Conclusion Individualized rehabilitation exercise can reduce the incidence of lymphedema,promote the recovery of limb function and improve quality of life in breast cancer patients after modified radical mastectomy.