早期阶段性功能锻炼在乳腺癌术后患侧肩关节功能恢复中的作用

The role of early stage functional exercise in recovery of shoulder joint function after breast cancer surgery

目的探讨早期阶段性功能锻炼在乳腺癌术后患侧肩关节功能恢复中的作用。方法选取2016年1月~2018年12月实施乳腺癌根治术患者92例。随机分为干预组与对照组各46例。对照组患者术后予常规功能锻炼,干预组患者术后予阶段性功能锻炼,两组患者均干预3个月。观察两组患者术后1个月和3个月肩关节前屈、后伸、内收和外展的活动度的变化,并比较术后并发症发生率。结果干预组患者术后1个月和3个月肩关节前屈、后伸、内收和外展的活动度较对照组更佳,差异有统计学意义(P<0.05),且干预组患者术后并发症总发生率较对照组更低,差异有统计学意义(χ2=4.420,P<0.05)。结论早期阶段性功能锻炼用于乳腺癌术后可促进患侧上肢功能恢复,提高肩关节活动度,减少术后并发症的发生,促进患者术后早日康复。

Objective To explore the role of early stage functional exercise in the recovery of shoulder joint function after breast cancer surgery.Methods Ninety-two patients who underwent radical mastectomy for breast cancer from January 2016 to December 2018 were selected.They were randomly divided into intervention group and control group,with 46 cases in each group.Patients in the control group were given routine functional exercise after surgery,and patients in the intervention group were given staged functional exercise after surgery.Both groups were intervened for 3 months.The changes of shoulder flexion,extension,adduction and abduction of the two groups were observed at one and three months after surgery.And the incidence of postoperative complications was compared.Results The patients in the intervention group had better flexion,extension,adduction and abduction of shoulder joints than the control group at 1 and 3 months postoperatively,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the intervention group was lower than that of the control group,and the difference was statistically significant(χ2=4.420,P<0.05).Conclusion Early stage functional exercise for breast cancer surgery can promote the recovery of upper limb function of the affected side,improve shoulder joint mobility,reduce the occurrence of postoperative complications,and promote the early recovery of patients after surgery.