穴位电刺激复合疗法对青年乳腺癌患者术后上肢淋巴水肿的干预效果

Effect of acupoint electric stimulation on lymphatic edema after operation in young patients with breast cancer

目的 探讨青年乳腺癌患者术后上肢淋巴水肿应用穴位电刺激结合运动康复的干预效果.方法 选取2015年4月—2016年5月青年乳腺癌患肢淋巴水肿的患者90例,采用随机数字分组法将其分为干预组和对照组,每组各45例.干预组采取穴位电刺激与气压治疗并结合系统康复运动的复合治疗方案,对照组采取气压治疗结合系统康复运动的治疗方案.观察患者治疗后1周以及1、3、6个月后患肢淋巴水肿情况和肩关节活动程度.结果 干预组术后1、3、6个月患肢水肿增加体积明显小于对照组,差异具有统计学意义（P＜0.05）.两组患者上肢的关节活动度中外展的时间效应具有统计学意义（P＜0.001）.结论 穴位电刺激复合疗法可以有效改善青年乳腺癌患者术后淋巴水肿,增加上肢关节外展角度.

Objective To investigate the effect of acupoint electric stimulation with exercise on lymphatic edema in patients with breast cancer after operation.Methods A total of 90 patients with lymphedema of young patients with breast cancer were selected from April 2015 to May 2016. The patients were divided into intervention group and control group by random number grouping, 45 cases in each group. The patients of intervention group was treated with acupoint electric stimulation combined with pneumatic treatment and the system rehabilitation exercise combined with treatment, and the patients of control group adopted pneumatic treatment at the same time to carry out systematic rehabilitation exercise treatment program. The limb lymph edema and shoulder range were observed when patients treated after 1 week as well as 1, 3, 6 months. Results In the intervention group,1,3,6 months after treatment, the increasing in the volume of limb edema was significantly smaller than that of the control group （P〈0.05）. In the two groups, the time effect for shoulder mobility for middle extended and abduction was statistically significant （P〈0.001）.Conclusions Acupoint electrical stimulation combined therapy can effectively improve the postoperative lymphedema in young patients with breast cancer, and increase the angle of abduction of the upper limb joint.