渐进式阻力训练联合肌内效贴治疗乳腺癌术后淋巴水肿的疗效

Effect of progressive resistance training combined with Kinesio taping on lymphedema after breast cancer surgery

目的探讨渐进式阻力训练(progressive resistance training,PRT)联合肌内效贴治疗乳腺癌术后淋巴水肿的疗效。方法选取2019年11月至2021年6月海口市人民医院收治的93例乳腺癌术后淋巴水肿患者为研究对象。采用随机数字表法将入选患者分为PRT组、肌内效贴组和联合组,每组各31例。在常规康复锻炼的基础上,分别给予PRT组、肌内效贴组、联合组患者PRT、肌内效贴、PRT+肌内效贴治疗,持续3个月。比较三组患者治疗前后淋巴水肿程度、上肢功能和生存质量。结果三组患者治疗后3个月患肢淋巴水肿程度均显著轻于本组治疗前(均P<0.05),臂、肩、手功能障碍(disabilities of arm,shoulder and hand,DASH)量表总分均显著低于本组治疗前(均P<0.05),健康调查量表36(36-item short form health survey,SF-36)总分均显著高于本组治疗前(均P<0.05);联合组患者治疗后3个月患肢淋巴水肿程度显著轻于PRT组和肌内效贴组(均P<0.05),DASH量表总分显著低于PRT组和肌内效贴组(均P<0.05),SF-36总分显著高于PRT组和肌内效贴组(均P<0.05)。结论PRT联合肌内效贴能显著促进乳腺癌患者术后淋巴回流,缓解淋巴水肿,促进上肢功能康复,提高生存质量。

Objective To investigate the effect of progressive resistance training(PRT)combined with Kinesio taping on lymphedema after breast cancer surgery.Method Ninety-three patients with lymphedema after breast cancer surgery from November 2019 to June 2021 in Haikou People's Hospital were enrolled for the study and randomly divided into PRT group,Kinesio taping group and combined group,with 31 cases in each group.On the basis of routine rehabilitation exercise,PRT group,Kinesio taping group and combined group were treated with PRT,Kinesio taping and PRT+Kinesio taping treatment respectively for 3 months.The degree of lymphedema,upper limb function and quality of life among the three groups were compared before and after treatment.Result Three months after treatment,the lymphedema in the affected limbs of patients in the three groups were significantly milder than that before treatment(all P<0.05),the total scores of disabilities of arms,shoulder and hand(DASH)scale were significantly lower than those before treatment(all P<0.05),the total scores of 36-item short form health survey(SF-36)were significantly higher than those before treatment(all P<0.05).Three months after treatment,the lymphedema in the affected limb of patients in combination group was significantly milder than those in PRT group and Kinesio taping group(all P<0.05),the total score of DASH scale was significantly lower than that in PRT group and Kinesio taping group(all P<0.05),and the total score of SF-36 was significantly higher than that in the PRT group and Kinesio taping group(all P<0.05).Conclusion PRT combined with Kinesio taping therapy can obviously promote lymphatic reflux after breast cancer surgery,relieve lymphedema,promote the rehabilitation of upper limb function and improve the quality of life.