综合消肿疗法对乳腺癌患者上肢淋巴水肿早期干预的临床研究

Clinical study on comprehensive intervention for early intervention of upper limb lymphedema in breast cancer patients

目的:通过手法淋巴引流(MLD)+压力波联合治疗,对比没有进行早期干预的乳腺癌患者上肢淋巴水肿的发生率。方法:选取2019年1月至2019年6月40例乳腺癌患者为对照组,2019年7月至2019年12月40例乳腺癌患者为研究组,对照组患者术后进行常规的功能锻炼指导;研究组在对照组的基础上实施MLD+压力波联合治疗。对比两组术后1个月、3个月、6个月、1年的患侧水肿发生率。结果:(1)研究组和对照组术后1个月、3个月两组患者上肢淋巴水肿发生率无明显差异,无统计学意义。而术后6个月、1年的两组患者上肢淋巴水肿发生率研究组明显优于对照组。差异有统计学意义(P<0.05);(2)研究组患者护理满意度(90.0%)明显高于对照组患者(62.5%)。结论:对乳腺癌改良根治术后有高危险因素的患者实施早期的干预,可有效预防和减少患肢淋巴水肿的发生率,提高患者的自信心,对患者后期的治疗也能起到很大的效果。

Objective:To compare the incidence of upper limb lymphedema in patients with breast cancer without early intervention through manual lymphatic drainage(MLD)plus pressure wave therapy.Methods:40 cases from January 2019 to June 2019 were selected as the control group,and 40 cases from July 2019 to December 2019 were selected as the study group;On the basis of the control group,the study group was treated with MLD+pressure wave.The incidences of edema at 1 month,3 months,6 months and 1 year after operation were compared between the two groups.Results:(1)there was no significant difference in the incidence of upper limb lymphedema between the study group and the control group at 1 month and 3 months after operation.The incidence of upper extremity lymphedema in the study group was significantly better than that in the control group 6 months and 1 year after operation.The difference was statistically significant(P<0.05).(2)The nursing satisfaction of the study group(90.0%)was significantly higher than that of the control group(62.5%).Conclusion:early intervention for patients with high risk factors after modified radical mastectomy can effectively prevent and reduce the incidence of lymphedema and improve the self-confidence of patients.