穴位按摩联合上肢康复训练在乳腺癌改良根治术后患者患肢功能锻炼中的应用

Effects of acupoint massage combined with upper limb rehabilitation training in functional exercise of affected limbs in patients after modified radical mastectomy for breast cancer

目的探讨穴位按摩联合上肢康复训练在乳腺癌改良根治术后患者患肢功能锻炼中的应用效果。方法采用便利抽样法,选择2018年2月—2020年4月阜阳市肿瘤医院收治的乳腺癌改良根治术后患者170例为研究对象。采用随机数字表法将患者分为观察组、对照组各85例。对照组给予佩戴压力袖套及上肢康复操训练,观察组在对照组的基础上联合应用穴位按摩。比较两组患者上肢功能、淋巴水肿发生率及生活质量。结果观察组脱落1例,对照组脱落4例,最终观察组纳入84例患者、对照组纳入81例患者。术后3个月,观察组患者患肢外展、前屈、后伸角度高于对照组,差异有统计学意义(P<0.05)。术后3个月,观察组患者上肢淋巴水肿发生率低于对照组,差异有统计学意义(P<0.05)。术后3个月,观察组患者中文版乳腺癌生活质量量表总分及社会/家庭状况、功能状况、情感状况得分均高于对照组,差异有统计学意义(P<0.05)。结论穴位按摩联合上肢康复训练有助于促进乳腺癌改良根治术后患者患肢功能的恢复,减少患肢淋巴水肿发生率,改善患者生活质量。

Objective To explore the effect of acupoint massage combined with upper limb rehabilitation training in the functional exercise of the affected limb of patients after modified radical mastectomy for breast cancer.Methods From February 2018 to April 2020,convenience sampling was used to select170 patients after modified radical mastectomy for breast cancer admitted to Fuyang Cancer Hospital as the research object.The patients were divided into the observation group and the control group with 85 cases in each group by random number table method.The control group conducted pressure cuffs and upper limb rehabilitation training,and the observation group carried out acupoint massage on the basis of the control group.The upper limb function,the incidence of lymphedema and the quality of life were compared between the two groups.Results One case fell off in the observation group,4 cases fell off in the control group,and finally 84 patients were included in the observation group,and 81 patients were included in the control group.Three months after the operation,the angles of abduction,flexion and extension of the affected limb of the observation group were greater than those of the control group,and the difference was statistically significant(P<0.05).Three months after the operation,the incidence of upper limb lymphedema in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Three months after the operation,the total scores of the Chinese version of Function Assessment of Cancer Therapy-Breast and the scores of social/family well-being,functional well-being,and emotional well-being of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusions Acupoint massage combined with upper limb rehabilitation training can help promote the recovery of the function of the affected limb after the modified radical mastectomy for breast cancer,and reduce the incidence of lymphedema in the affected limb,and improve the quality of life of patients.