艾盐包温灸肩部疗法早期干预促进乳腺癌术后患肢功能恢复的疗效观察

Therapeutic effect of early intervention of Ai salt package moxibustion shoulder therapy on postoperative limb function recovery in breast cancer

目的研究艾盐包温灸肩部疗法早期干预促进乳腺癌术后患肢功能恢复的疗效观察。方法将100例符合纳入标准的乳腺癌改良根治术后患者,根据入院时间的先后顺序编号,按随机数字表法随机分为干预组与对照组各50例,对照组术后给予常规护理,并进行科学的肢体功能锻炼:手术后24 h内进行握拳、伸指、屈腕等锻炼,1～3 d进行屈肘、伸臂等锻炼,4～7 d用患肢进行洗脸、刷牙、进食、摸对侧肩膀、耳朵等锻炼,1～2周行爬墙、甩绳等肩关节锻炼。避免患肢的采血、测血压、静脉输液等,避免患肢的过度负重和外伤。干预组在对照组的基础上,术后72 h予以自制艾盐包肩部温灸半小时。每天两次,7 d为一个疗程,一个疗程后更换新的艾盐包,连续做两个疗程。观察两组乳腺癌患者术后2周、1个月肩关节活动程度、上肢水肿的程度,术后3 d及术后2周日常生活能力的评定。结果干预组与对照组在肩关节活动度方面的比较,不同时点组内比较差异有统计学意义(P<0.05),两组在治疗后1个月组间比较差异有统计学意义(P<0.05)。两组在上肢水肿程度的比较,不同时点组内比较有统计学意义(P<0.05),两组在治疗后1个月组间比较差异有统计学意义(P<0.05)。两组在日常生活能力评定的比较,不同时点组内比较差异有统计学意义(P<0.05),两组在治疗后2周组间比较差异有统计学意义(P<0.05)。结论乳腺癌改良根治术后早期用艾盐包温灸肩部疗法可以促进乳腺癌术后患肢功能恢复。

Objective To study the effect of early intervention of Ai salt package moxibustion shoulder therapy on the recovery of limb function after breast cancer operation. Methods 100 patients with modified radical mastectomy who met the inclusion criteria were randomly divided into the intervention group and the control group according to the order of the patients, with 50 cases in each group. The control group received routine nursing after surgery and scientific physical exercise, including exercise fist, stretch finger, flex wrist and other exercises within 24 hours after surgery, performing elbow flexion and stretching exercises on day 1-3, washing face, brushing teeth, eating, touching the opposite shoulder and ear on day 4-7, taking shoulder joint exercises such as climbing the wall, reins on week 1-2. The blood collection, blood pressure measurement and intravenous infusion were avoided. And excessive weight and trauma of the affected limb was avoided. At 72 hours after the operation, the intervention group was given Ai salt package moxibustion for a half hour on the basis of the treatment of the control group, twice a day, 7 days for a course of treatment. After a course of treatment, a new Ai salt package was replaced. Two consecutive courses were performed. The degree of shoulder joint activity, the degree of upper limb edema at 2 weeks and 1 month after surgery, and the evaluation of daily living ability at 3 days and 2 weeks after surgery were observed in the two groups of breast cancer patients. Results There was a statistically significant difference in shoulder mobility in the intervention group and the control group at different time points (P<0.05). There was a significant difference in shoulder mobility between the two groups at 1 month after treatment(P<0.05). The degree of upper extremity edema in the intervention group and the control group was statistically significant at different time points(P<0.05). There was a statistically significant difference in the degree of upper extremity edema between the two groups at 1 month after treatment (P<0.05). The daily living ability between the two groups was statistically significant at different time points(P<0.05). There was significant difference between the two groups at 2 weeks after treatment(P<0.05). Conclusion The early use of Ai salt package moxibustion shoulder therapy after modified radical mastectomy can promote the recovery of limb function after breast cancer operation.