乳癌术后系统性肌力训练对患肢康复研究分析.doc

乳癌术后系统性的肌力训练对患肢康复的研究分析 After breast cancer systematic strength training to limb of rehabilitation research and analysis 南京医科大学第一附属医院河西乳腺病科 (江苏南京210029) Nanjing medical university first affiliated hospital of mammary gland disease beyond the family (nanjing jiangsu 210029) 王 蓓 Wang Being 摘要：目的：乳腺癌根治术后经过系统功能锻炼，预防腋窝周围组织的疤痕挛缩，肩部肌肉萎缩及压迫腋静脉造成上肢水肿。方法：通过对2010年3月～2011年3月收治乳腺癌行手术治疗患者80例,其中分成康复组和对照组各40例进行随机对照，采用随访的方法分析对比功能锻炼与水肿的关系。结果：经过4周系统功能锻炼，对照组患肢体积较康复组显著增加（P0.01）,而康复组患肢体积较术前无显著性差异(P0.05)。结论：系统的患肢功能锻炼是预防患肢肩部肌肉萎缩，腋窝周围组织疤痕挛缩和患肢水肿的最直接、最有效的方法。 Abstract: objective: to breast cancer radical surgery after system function exercise, prevent the armpit of the surrounding tissue scar contracture, shoulder muscles atrophy and oppression axillary vein cause upper limbs edema. Methods: through to the March 2010 to March 2011 breast cancer patients with surgical treatment were done, there were 80 cases, but into recovery group and control group 40 cases each in randomized controlled, using the method of comparison analysis follow-up function exercise and edema of the relationship. Results: after four weeks system function exercise, the control group had a body product rehabilitation group increased significantly (P 0.01), and rehabilitation groups had limbs were improved product no significant difference (P 0.05). Conclusion: the system phantom limb function exercise is to prevent limb shoulder muscle atrophy, armpits surrounding tissues scar contracture and limb swelling of the most direct, the most effective method. 关键词：　肌力训练　乳腺癌术后 患肢康复 Keywords: strength training after breast cancer limb recovery 乳腺癌是常见的恶性肿瘤之一，占女性肿瘤人数的30%，乳腺癌改良根治术是目前国内外治疗乳腺癌的常用手术方法［1］，于是，乳腺癌术后康复治疗一直以来都是学者们研究热点，系统的患侧上肢功能锻炼可以防止肌肉萎缩和关节挛缩，对患肢功能的恢复、预防患肢水肿、提高病人生存质量起着重要作用。 1.资料与方法 1.1一般资料： 我科2010年3月～2011年3月收治乳腺癌行手术治疗患者80例，均为女性。TNM(tumor,nodes and metastasis classification)分期：Ⅰ期16例，Ⅱ期41例，Ⅲ期 23例；手术方式：根治术4例，改良根治术76例。我们随机分为康复训练组（简称：康复组）和对照组。其中康复组40例，年龄32～77岁，平均50±12岁；另40例为对照组，年龄29～72岁，平均51±13岁。两组年龄和临床分期无显著性差异（P0.05）。康复训练按