渐进式阻力训练护理干预对预防乳腺癌术后淋巴水肿的作用(1)
[摘要] 目的 探讨渐进式阻力训练护理干预对预防乳腺癌术后淋巴水肿的作用。方法 方便选择2018年5月—2019年5月于该院行乳腺癌改良根治术的68例乳腺癌患者，按随机数字表法分为两组，各34例。对照组采取常规康复训练，观察组在此基础上实施渐进式阻力训练护理，比较两组术后1周和术后3个月时的淋巴水肿情况、上肢体积差以及肩关节活动度。结果 两组术后1周淋巴水肿情况、上肢体积差以及肩关节活动度比较，差异无统计学意义(P>0.05);观察组术后3个月时淋巴水肿未发生率97.06%、轻度发生率2.94%、中度发生率0.00%、重度发生率0.00%，优于对照组的76.47%、11.76%、8.82%、2.94%，差异有统计学意义(Z=2.522，P=0.012);观察组术后3个月上肢体积差为(252.36±13.54)cm3，小于对照组的(409.56±34.35)cm3，差异有统计学意义(t=24.826，P<0.05);观察组术后3个月前屈肩关节活动度(148.36±16.37)°、后伸(43.39±5.38)°、内收(66.25±5.34)°、外展(154.39±15.86)°，大于对照组的(129.41±14.23)°、(32.67±4.85)°、(55.19±4.57)°、(134.58±12.37)°，差异有统计学意义(t=5.094、8.630、9.176、5.743，P<0.001)。结論 渐进式阻力训练护理干预能够减轻乳腺癌术后患者淋巴水肿度，促进患肢功能恢复。
[关键词] 渐进式阻力训练;乳腺癌;淋巴水肿;肩关节活动度
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2020)10(b)-0155-03
[Abstract] Objective To explore the effect of progressive resistance training nursing intervention on the prevention of lymphedema after breast cancer surgery. Methods 68 breast cancer patients who underwent modified radical mastectomy for breast cancer in the hospital from May 2018 to May 2019 were conveniently selected and divided into two groups according to the random number table method， with 34 cases in each group. The control group took routine rehabilitation training， and the observation group carried out progressive resistance training nursing on this basis. The lymphedema， upper limb volume difference and shoulder joint range of motion were compared between the two groups at 1 week and 3 months after surgery. Results There was no statistically significant difference in lymphedema， upper extremity volume difference and shoulder joint range of motion between the two groups at 1 week after surgery (P>0.05); the observation group had no incidence of lymphedema at 3 months after surgery， 97.06%， mild incidence rate was 2.94%， the moderate incidence rate was 0.00%， and the severe incidence rate was 0.00%， which was better than the control group's 76.47%， 11.76%， 8.82%， 2.94%， and the difference was statistically significant (Z=2.522， P=0.012); observation group of the upper limb volume difference was (252.36±13.54)cm3 at 3 months after operation， which was smaller than (409.56±34.35)cm3 in the control group， and the difference was statistically significant (t=24.826， P<0.05); the observation group before 3 months after operation of the range of motion of the shoulder flexion was (148.36±16.37)°， extension (43.39±5.38)°， adduction (66.25±5.34)°， abduction (154.39±15.86)°， which was greater than that of the control group (129.41±14.23)°， (32.67±4.85)°， (55.19±4.57)°， (134.58±12.37)°， the difference was statistically significant (t=5.094， 8.630， 9.176， 5.743， P<0.001). Conclusion Progressive resistance training nursing intervention can reduce the degree of lymphedema in patients after breast cancer surgery and promote the recovery of affected limb function., 百拇医药(巫玉云)
[关键词] 渐进式阻力训练;乳腺癌;淋巴水肿;肩关节活动度
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2020)10(b)-0155-03
[Abstract] Objective To explore the effect of progressive resistance training nursing intervention on the prevention of lymphedema after breast cancer surgery. Methods 68 breast cancer patients who underwent modified radical mastectomy for breast cancer in the hospital from May 2018 to May 2019 were conveniently selected and divided into two groups according to the random number table method， with 34 cases in each group. The control group took routine rehabilitation training， and the observation group carried out progressive resistance training nursing on this basis. The lymphedema， upper limb volume difference and shoulder joint range of motion were compared between the two groups at 1 week and 3 months after surgery. Results There was no statistically significant difference in lymphedema， upper extremity volume difference and shoulder joint range of motion between the two groups at 1 week after surgery (P>0.05); the observation group had no incidence of lymphedema at 3 months after surgery， 97.06%， mild incidence rate was 2.94%， the moderate incidence rate was 0.00%， and the severe incidence rate was 0.00%， which was better than the control group's 76.47%， 11.76%， 8.82%， 2.94%， and the difference was statistically significant (Z=2.522， P=0.012); observation group of the upper limb volume difference was (252.36±13.54)cm3 at 3 months after operation， which was smaller than (409.56±34.35)cm3 in the control group， and the difference was statistically significant (t=24.826， P<0.05); the observation group before 3 months after operation of the range of motion of the shoulder flexion was (148.36±16.37)°， extension (43.39±5.38)°， adduction (66.25±5.34)°， abduction (154.39±15.86)°， which was greater than that of the control group (129.41±14.23)°， (32.67±4.85)°， (55.19±4.57)°， (134.58±12.37)°， the difference was statistically significant (t=5.094， 8.630， 9.176， 5.743， P<0.001). Conclusion Progressive resistance training nursing intervention can reduce the degree of lymphedema in patients after breast cancer surgery and promote the recovery of affected limb function., 百拇医药(巫玉云)