摘要
目的:观察乳腺癌术后上肢淋巴水肿分度治疗方案的疗效。方法:109例乳腺癌术后上肢淋巴水肿患者分为对照组47例、治疗组62例,对照组患者予去消肿综合疗法(CDT),治疗组在对照组的基础上采取分度中医综合治疗方案,观察并比较两组治疗疗效、治疗周期、Norman问卷、上肢功能情况。结果:治疗组总有效率为98.39%,高于对照组的89.36%,差异有统计学意义(P<0.05)。治疗组患者治疗时间明显短于对照组,治疗组患者治疗后手部、前臂肿胀改善情况明显优于对照组,差异均有统计学意义(P<0.05)。治疗后,两组上肢功能明显改善,且治疗组上肢功能改善优于对照组(P<0.05)。两组无不良反应发生。结论:乳腺癌术后上肢淋巴水肿分度综合治疗方案能缩短患者治疗周期,控制淋巴水肿的发展,改善主观症状及上肢功能情况,提高患者的生活质量。
Objective:To observe the curative effect of grading treatment of upper limb lymphedema after breast cancer surgery.Methods:Totally 109 patients of upper extremity lymphedema were divided into control group(47 cases)and treatment group(62 cases).Patients were treated with detumescent therapy(CDT)in control group and treatment group were treated with TCM therapy on the basis of the control group.The therapeutic effect,treatment cycle,Norman questionnaire and upper limb function were compared between the two groups.Results:The treatment group showed higher total effective rate(98.39%)than the control group(89.36%),and the difference was statistically significant(P<0.05).The treatment group showed shorter treatment time than the control group,and the treatment group showed better improvement of hand,forearm and swelling than control group(P<0.05).After treatment,the upper limb function was improved in the two groups,and the treatment group showed better upper limb function than control group,with statistically significant difference(P<0.05).There was no adverse reaction in the two groups.Conclusion:The graded comprehensive treatment of upper limb lymphedema after breast cancer surgery can shorten the treatment cycle,control the development of lymphedema,improve subjective symptoms and upper limb function and increase the quality of life of patients.
作者
付攸缘
黄丽梅
陈凯霓
蒋翠芳
谢宛君
陈晓宇
FU You-yuan;HUANG Li-mei;CHEN Kai-ni;JIANG Cui-fang;XIE Wan-jun;CHEN Xiao-yu(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Province Hospital of Traditional Chinese Medicine,Guangzhou Guangdong 510120,China)
出处
《中医药导报》
2019年第23期64-67,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
广东省中医药管理局课题资助项目(20161102)