四妙勇安汤加味治疗乳腺癌术后上肢水肿的应用价值分析

Analysis of the Application Value of Simiao Yongan Decoction(四妙勇安汤)in the Treatment of Upper Limb Edema after Breast Cancer Surgery

目的本研究中在乳腺癌术后上肢水肿治疗中应用四妙勇安汤加味治疗,探究其治疗效果。方法于2019年9月-2020年9月收治的80例乳腺癌患者为本次研究对象,将上述患者按照简单数字表法分为两组各40例。对照组接受常规西药治疗,观察组在对照组治疗基础上应用四妙勇安汤加味治疗。比较两组症状积分、治疗有效率以及上臂周径和水肿分级。结果观察组治疗有效率为95.00%(38/40);对照组治疗有效率为72.50%(29/40),观察组治疗有效率高于对照组较(P<0.05)。观察组各项症状积分分别为:肢体麻木(1.36±0.78)、肢体疼痛(1.33±0.45)、肢体沉重感(1.22±0.32)、体肿胀感(1.45±0.65);对照组各项症状积分分别为:肢体麻木(2.32±0.54)、肢体疼痛(2.57±0.84)、肢体沉重感(2.12±0.57)、肢体肿胀感(2.32±0.78),观察组症状积分相比较于对照组较低(P<0.05)。观察组水肿分级:轻度34例;中度5例;重度1例;对照组水肿分级:轻度21例;中度:9例;重度10例。观察组水肿分级相比较对照组较优(P<0.05)。结论本研究中在乳腺癌术后上肢水肿治疗中应用四妙勇安汤加味治疗,可显著提高患者治疗有效率,缓解其相关症状,此治疗方法可在乳腺癌术后上肢水肿治疗中予以推广。

Objective In this study, in the treatment of upper extremity edema after breast cancer surgery, Simiao Yongan Decoction(四妙勇安汤) was used in the treatment to explore its therapeutic effect. Methods From September 2019 to September 2020, 80 breast cancer patients were the subjects of this study. The above patients were divided into 2 groups with 40 cases in accordance with a simple number table method. The control group received conventional western medicine treatment, and the experimental group was treated with Simiao Yongan Decoction based on the treatment of the control group. The symptom scores, treatment effectiveness, upper arm circumference and edema grade were compared between the two groups.Results The effective rate of treatment in the experimental group was 95. 00%( 38/40);the effective rate in the control group was 72. 50%( 29/40). The comparison shows that the treatment effective rate of the experimental group is higher than that of the control group( P < 0. 05),and the difference between the two groups meets statistical significance. The symptom scores of the experimental group were: limb numbness( 1. 36 ± 0. 78),limb pain( 1. 33 ± 0. 45),limb heaviness( 1. 22 ± 0. 32),body swelling feeling( 1. 45 ± 0. 65);the control group’s symptom scores were: limb numbness( 2. 32 ± 0. 54),Limb pain was( 2. 57 ± 0. 84),limb heaviness was( 2. 12 ± 0. 57),and limb swelling was( 2. 32 ± 0. 78). The comparison showed that the symptom score of the experimental group was lower than that of the control group( P < 0. 05),and the difference between the two groups was statistically significant. The edema classification of the experimental group: mild 34 case;moderate 5 case;severe 1 case;control edema classification: mild 21 case;moderate: 9 case;Severe 10 case. The comparison shows that the edema classification of the experimental group is better than that of the control group( P < 0. 05),and the difference between the two groups meets statistical significance. Conclusion: In this study,the application of Simiao Yongan Decoction in the treatment of upper extremity edema after breast cancer surgery can significantly improve the treatment efficiency of patients and relieve their related symptoms. This treatment can be used in the treatment of upper extremity edema after breast cancer surgery promotion.