有氧运动对乳腺癌术后化疗患者改善心功能效果研究.docVIP

有氧运动对乳腺癌术后化疗患者改善心功能效果研究 　　摘要：目的 探讨乳腺癌术后化疗患者进行有氧运动对心功能的影响及提高其生活质量。方法 将入组的60例患者随机分成实验组和对照组各30例，化疗结束后5 d进行运动平板试验，直接测得METS（心肌代谢当量）值和运动总时间。对照组根据身体状况采取随意自行运动方式，实验组按护士为其制订的有氧运动方案进行规律锻炼。8 w后再次进行运动平板试验，直接测得METS值和运动总时间。结果 实验组的METS值、运动总时间较对照组有明显的改善，比较差异有显著意义P0.05，具有可比性。结论 实施有氧运动可作为促进乳腺癌化疗患者心功能改善的有效方法，并能提高乳腺癌患者的生活质量。 　　关键词：乳腺癌术后；有氧运动；心功能改善 　　Effects of Aerobic Exercise on Improving Cardiac Function in Patients with Postoperative Chemotherapy of Breast Cancer 　　ZHOU Juan 　　（Department of Oncology，the First Affiliated Hospital of Gannan Medical College，Ganzhou 341000，Jiangxi，China） 　　Abstract：Objective To investigate the postoperative breast cancer patients with the effect of aerobic exercise on heart function and improve their quality of life.Methods The group of 60 patients were randomly divided into experimental group and control group 30 cases，at 5 days after chemotherapy，the exercise plate test was performed and the total time of METS（myocardial metabolic equivalent）and total exercise time were measured. The control group according to the physical condition to take their own way of exercise，the experimental group according to nurses for the development of aerobic exercise program for regular exercise.8 w after the exercise plate test again，directly measured METS value and the total movement time. Results The total time of METS and the total exercise time of the experimental group were significantly improved compared with the control group，the difference was significant（P0.05）.Conclusion Aerobic exercise can be used as an effective method to improve the cardiac function of breast cancer patients and improve the quality of life of breast cancer patients. 　　Key words：Postoperative breast cancer；Aerobic exercise；Improved cardiac function 　　乳腺癌具有较高的发病率和死亡率，我国乳腺癌的发病率呈逐年上升趋势，是女性最常见的恶性肿瘤，严重影响女性的生活质量。乳腺癌最为有效的方法是采用根治性手术为主的综合治疗，应用化疗是提高治疗效果，提高生存率的治疗方法。在乳腺癌化学治疗中被广泛使用以蒽环类药物为基础的化疗方案。多次化疗的经历及癌症病变部位的特殊性将严重影响患者生理功能与情绪反应，从而导致其生活质量降低。蒽环类药物和其他化疗药物及分子靶向药物的联合应用可以取得协同增强的抗肿瘤效应。蒽环类药物的抗肿瘤疗效确切