80例乳腺癌女性患者术后1年患肢并发症的纵向研究及对策

Complications of Affected Extremities of 80 Breast Cancer Patients One Year after Operation and Its Treatment: A Longitudinal Study

目的探讨乳腺癌患者术后1年期间患肢并发症的状况及变化规律。方法选取80例乳腺癌术后患者,测量患者术后3个月、6个月、12个月的患肢并发症的发生状况,进行统计描述。结果80例乳腺癌患者术后1年期间,患肢并发症中,除患肢淋巴水肿发生率升高外,患肢疼痛、感觉异常、患肢肌力下降及条索状结构的发生率均呈下降趋势,发生率在3个时点的差异有统计学意义(P<0.05)。结论乳腺癌患者术后上肢功能康复效果总体并不理想,虽除淋巴水肿以外,其余并发症发生率均呈下降趋势,但直至术后1年均未能完全恢复,而术后淋巴水肿是上肢功能恢复中唯一会随着时间进展而增加发生率的并发症。提示需加强乳腺癌患者术后患肢功能及其并发症的管理,并且时间应维持在1年以上。

Objective To investigate the complications of affected extremities and its change rules in breast cancer patients one year after the surgery.Methods Eighty patients after breast cancer surgery were involved in the study and the occurrence of complications of affected extremities 3,6,and 12 months after the surgery was described statistically.Results The incidence of lymphedema increased in the year after the surgery,while that of the complications such as pain,sensory disturbance,decreased muscle strength and cord structure decreased.The incidence difference 3,6,and 12 months after the surgery indicated statistical significance(P<0.05).Conclusion Overall rehabilitation effect of patients after breast cancer surgery is not very ideal.Except the incidence o f lymphedema,even though that of other complications decreased,lymphedema,the only complication the incidence of which was increasingly severe with the prolonging of the time,is still not improved one year after the surgery.It is suggested that more measures should be taken for function management and complication management of affected extremities for more than 1 year.