乳腺癌根治术后患者的康复护理及患肢功能恢复研究

Study on functional recovery and rehabilitation nursing in patients with breast cancer after radical operation

目的研究康复护理措施对乳腺癌根治术后患肢功能恢复的影响.方法选择120例乳腺癌根治术后患者,随机分为对照组和观察组各60例.对照组术后给予常规护理,观察组术后给予康复护理.比较2组护理前和护理1个月后的患肢功能恢复情况(患肢内旋、外旋、前屈、外展、后伸及内收角度)、炎性因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)和白细胞介素-10(IL-10)]及并发症情况.结果护理前,2组患肢内旋、外旋、前屈、外展、后伸及内收的角度比较差异无统计学意义(P>0.05);护理1个月后,2组患者的患肢活动角度均增大,且观察组大于对照组(P<0.05).护理前,2组患者的TNF-α、IL-6、IL-10水平相比,差异无统计学意义(P>0.05);护理1个月后,2组患者的TNF-α、IL-6、IL-10水平均显著降低,且观察组低于对照组(P<0.05).观察组皮瓣坏死、皮下积液、上肢水肿的发生率均低于对照组(P<0.05).结论康复护理措施能够促进乳腺癌根治术后患肢功能的恢复,降低炎症因子水平,减少术后并发症.

Objective To study the effect of rehabilitation nursing measures on the functional recovery of the affected limb after radical mastectomy.Methods A total of 120 patients who received radical mastectomy in our hospital were randomly divided into control group and observation group.Routine nursing was given to patients in the control group(n=60)and rehabilitation nursing was given to those in the observation group(n=60).The functional recovery of affected limbs[(pronation,external rotation,forward bending,external extension and back extension and adduction angle),inflammatory factors[(tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and interleukin-10(IL-10)]and complications of the two groups were compared before nursing and after 1 month of nursing.Results Before nursing,there were no significant differences in the angles of internal rotation,external rotation,forward flexion,abduction,back extension and adduction angle between the two groups(P>0.05).After one month of nursing,the movement angles of the two groups was significantly increased,and the observation group was larger in movement angles than that in the control group(P<0.05).Before nursing,there were no significant differences in the levels of TNF-α,IL-6 and IL-10 between the two groups(P>0.05),the levels of TNF-α,IL-6 and IL-10 in the two groups were significantly lower after treatment,and the observation group was lower than that in the control group(P<0.05).The incidence of skin flap necrosis,subcutaneous effusion and upper extremity edema in the observation group were significantly lower than that in the control group(P<0.05).Conclusion Rehabilitation nursing measures can promote the recovery of limb function after radical mastectomy,[JP]significantly reduce the level of inflammatory factors,and reduce postoperative complications.