早期综合康复训练对乳腺癌术后上肢功能的效果观察.docVIP

精品论文 参考文献 早期综合康复训练对乳腺癌术后上肢功能的效果观察 （河南省濮阳市红十字医院 河南 濮阳 457000） 　　【摘要】目的:探讨早期综合康复训练对乳腺肿瘤患者术后上肢功能康复效果的影响。方法:选择我院2012年1月～2014年5月期间收治入院的实施乳腺癌改良根治术患者84例，将其所有患者按照数字法随机分为观察组和对照组，每组各42例。观察组患者实行早期综合康复训练，对照组例患者采用传统的功能锻炼方法, 观察两组患者患侧上肢上举功能（前屈，外展，后伸，外旋）比较及术后并发症。对所有数据进行统计学分析。结果：两组患者手术前患侧上肢前屈，外展，后伸，外旋等活动度比较无统计学意义（Pgt;0.05）;两组患者患肢术后1个月、前屈，外展，后伸，外旋活动度比较差异有统计学意义（Plt;0.05）。两组患者患侧上肢水肿的差异有统计学意义(Plt;0.05)，术后皮下积液及皮瓣坏死的差异无统计学意义(Pgt;0.05)。结论：乳腺肿瘤术后进行早期综合康复训练可有效促进肢体功能的恢复，防止患肢水肿的发生，从而更好的恢复患者生活自理能力。 　　【关键词】乳腺癌；改良根治术；综合康复训练；效果 　　【中图分类号】R73 【文献标识码】A 【文章编号】2095-1752（2016）33-0393-02 　　Effect observation of early comprehensive rehabilitation training to upper limb function after breast cancer 　　【Abstract】Objective To investigate the effect of early comprehensive rehabilitation training to upper limb function after breast cancer. Methods 84 cases implementation of modified radical mastectomy from January 2012 to May 2014 in our hospital were selected.All patients were randomly divided into observation group and control group,each group had 42 cases.The observation group were implemented early comprehensive rehabilitation, the control group patients were treated with traditional functional training methods. For the upper limb function (flexion, abduction, extension, external rotation) and postoperative complications were observed and compared. All data were statistically analyzed. Results Two groups of patients upper limb flexion, abduction, extension, external rotation and other activities before surgery of the comparison was not statistically significant (Pgt; 0.05); Two groups of patients limb after a month, flexion, abduction, extension, external rotation of the difference was statistically significant (P lt;0.05). Differences between the two groups were upper limb edema was statistically significant (P lt;0.05), postoperative seroma and skin flap necrosis was no significant difference (Pgt; 0.05). Conclusion Breast cancer surgery early comprehensive r