宫颈癌术后下肢淋巴水肿的系统性针灸康复训练研究

Study on systematic acupuncture rehabilitation training for lymphedema of lower limbs after cervical cancer operation

目的探讨系统性针灸康复训练在宫颈癌术后下肢淋巴水肿患者中的应用效果。方法选取本院收治的宫颈癌术后出现下肢淋巴水肿患者94例,随机分为对照组与研究组,每组47例。对照组患者采取常规护理,研究组在对照组基础上采取针灸治疗结合系统性康复护理干预,比较2组干预3个月后的效果。结果护理后,研究组患者下肢淋巴水肿分级Ⅱ、Ⅲ级比率低于对照组,差异有统计学意义(P<0.05);护理3个月,研究组小腿周径、大腿周径均小于对照组,差异有统计学意义(P<0.05);护理后,2组妇科癌症淋巴水肿量表(GCLQ)各指标评分均降低,且研究组沉重感评分、疼痛评分、麻木评分、水肿评分、肿胀评分、感染评分、肢体功能评分及总分均低于对照组,差异有统计学意义(P<0.05)。结论针灸治疗结合系统性康复训练可显著改善宫颈癌术后下肢淋巴水肿程度。

Objective To explore effect of systematic acupuncture rehabilitation training for lymphedema of lower limbs after cervical cancer operation.Methods Totally 94 patients with lymphedema of lower limbs after cervical cancer operation were selected and randomly divided into control group and study group,with 47 cases in each group.The patients in the control group were conducted with routine nursing,while the patients in the study group were conducted with acupuncture combined with systematic rehabilitation nursing intervention on the basis of the control group.Effect was compared between two groups at three months after intervention.Results After nursing,the ratios of patients with gradeⅡandⅢlymphedema of lower limbs in the study group were significantly lower than those in the control group(P<0.05).After 3 months of nursing,the circumferences of thighs and calves in the study group were significantly smaller than those in the control group(P<0.05).After nursing,the scores of indexes of Gynecological Cancer Lymphedema Questionnaire(GCLQ)decreased significantly in both groups,and the heaviness score,pain score,numbness score,edema score,swelling score,infection score,limb function score and total score of the study group were significantly lower than those of the control group(P<0.05).Conclusion Acupuncture combined with systematic rehabilitation training can significantly improve the degree of lymphedema of lower limbs after cervical cancer surgery.