乳腺癌术后淋巴水肿的早期识别与干预策略

Early Detection of Postoperative Limb Lymphedema and its Interventions in Breast Cancer Patients

目的探讨早期识别和干预对乳腺癌术后肢淋巴水肿的效果。方法选取80例乳腺癌术后患者为研究对象,按照随机数字表法分为观察组40例和对照组40例。对照组接受常规护理,观察组接受早期淋巴水肿识别和干预策略,比较2组患者术后6个月淋巴水肿发生情况以及患者的自感症状(采用BCLE-SEI评分进行评估,包括功能、社交、睡眠、性生活、情绪和归属感6个维度)。结果观察组患者术后6个月淋巴水肿发生率明显低于对照组(P<0.05)。观察组患者术后6个月BCLE-SEI评分在功能、社交及情绪维度得分优于对照组(均P<0.05);而在睡眠、性生活和归属感维度得分均为0。结论早期识别和干预可显著降低乳腺癌术后淋巴水肿的发生率,并有助于提高患者的生活质量。

Objective To investigate clinical efficacy of early detection of limb lymphedema and its interventions after breast cancer surgery.Methods 80 postoperative breast cancer patients were selected and divided into the observation group and the control group,40 cases in each,according to the random number table method.The control group were given routine care,whereas the observation group were offered early detection and interventions for lymphedema.The incidence of lymphedema and self-perceived symptoms 6 months after surgery were compared between the 2 groups(evaluated using the BCLE-SEI score,including six dimensions:function,socialization,sleep,sexuality,emotion,and sense of belonging).Results The incidence of lymphedema 6 months after surgery in the observation group was significantly lower than that in the control group(P<0.05).The BCLE-SEI scores 6 months after surgery in the observation group were better than those in the control group in terms of function,socialization,and emotion(all P<0.05),whereas the scores of sleep,sexuality and sense of belonging in the 2 groups were 0.Conclusions Early detection and intervention can positively reduce the incidence of lymphedema in patients after breast cancer surgery and contribute to improving their quality of life.