乳腺癌改良根治术后早期阶段性功能锻炼对患者康复效果影响.docVIP

乳腺癌改良根治术后早期阶段性功能锻炼对患者康复效果的影响 　　[摘要] 目的 探讨早期阶段性功能锻炼对乳腺癌改良根治术后患者上肢功能障碍康复效果的影响。 方法 选择2010年1月～2014年1月东莞市人民医院收治入院的实施乳腺癌改良根治术患者610例，根据功能锻炼方法不同分为两组，观察组340例患者实行早期阶段性患肢功能锻炼，对照组270例患者实行传统的功能锻炼。观察两组患者运动耐力情况、患肢肩关节活动度以及术后并发症。并对所得数据进行统计学分析。 结果 两组患者术前肩关节前屈、外展、内旋、外旋、内收、后伸等活动度比较，差异无统计学意义（P 0.05）；观察组术后5 d、1个月、3个月、6个月肩关节前屈、外展、外旋、后伸等活动度与对照组同时间段比较，差异均有统计学意义（P 0.05）；观察组患者术后3个月运动距离和主观用力感觉明显高于对照组，运动后心率恢复时间明显低于对照组，差异均有统计学意义（P 0.05）；两组患者术后皮下积液及皮瓣坏死比较，差异无统计学意义（P 0.05），上肢水肿情况比较，差异有统计学意义（P 0.05）。 结论 乳腺癌术后早期阶段性个体化患肢功能锻炼可明显降低上肢功能障碍的发生率，有利于促进运动耐力和肢体功能恢复。 　　[关键词] 乳腺癌；改良根治术；肢体功能障碍；阶段性；功能锻炼；影响 　　[中图分类号] R655.8 [文献标识码] A [文章编号] 1673-7210（2015）01（b）-0061-04 　　[Abstract] Objective To investigate the effects of early stage functional exercise on rehabilitation of patients with breast cancer modified radical surgery. Methods 610 cases of patients with modified radical mastectomy admitted to the Peoples Hospital of Dongguan City from January 2010 to January 2014， and they were divided into two groups according to functional training methods， 340 cases of the observation group with early stages of limb function were implemented exercise， 270 cases of patients in the control group were given the functions of traditional training methods. Exercise tolerance， the limb shoulder range of motion， and postoperative complications were observed. The data was statistically analyzed. Results The shoulder flexion， abduction， internal rotation， external rotation， adduction， extension and other activities of the comparison before surgery of patients in the two groups was not statistically significant （P 0.05）； there were statistically significant differences between the two groups in 5 d， 1 month， 3 months， 6 months of shoulder flexion， abduction， external rotation， extension and other activity （P 0.05）； distance， subjective feeling of patients 3 month exercise after operation of the observation group were significantly lower than those of the control group， and the differences were statistically significant