| 摘要: |
| ［摘要］ 目的 观察围手术期渐进式综合康复干预对乳腺癌根治术患者上肢功能的远期疗效。方法 选取2018年3月至2020年3月在广西壮族自治区人民医院行乳腺癌根治术的女性患者85例，随机分为观察组（n=45）和对照组(n=40)。观察组采用围手术期渐进式综合康复干预，对照组采用常规康复干预。比较两组术前、术后1个月、术后3个月和术后12个月的双侧上肢肩关节主动活动度和Constant评分。结果 在术后1个月、3个月和12个月，两组肩前屈、外展、后伸、内旋及外旋活动度均有不同程度的改善，且观察组肩前屈、外展及后伸活动度改善显著优于对照组（P<0.05）。在术后1个月、3个月和12个月，观察组的上肢淋巴水肿发生率低于对照组，但差异无统计学意义（8.89% vs 12.50%，13.33%vs 22.50%，15.56% vs 30.00%；P>0.05）。术后1个月、3个月和12个月，两组Constant评分均有改善，且观察组较对照组评分更高，差异有统计学意义（P<0.05）。结论 围手术期渐进式综合康复干预可持续改善乳腺癌根治术后患侧肩关节主动活动度和Constant评分，利于患者上肢功能恢复。 |
| 关键词: 围手术期 乳腺癌 综合康复 上肢功能 远期疗效 |
| DOI：10.3969/j.issn.1674-3806.2022.08.16 |
| 分类号:R 493 |
| 基金项目:南宁市青秀区科技计划项目（编号：2018034）；广西壮族自治区人民医院青年基金项目（编号：QN2019-22） |
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| An observation on the long-term effect of perioperative progressive comprehensive rehabilitation intervention on upper limb function in patients receiving radical mastectomy for breast cancer |
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CAO Wan, YANG Jian-rong, ZOU Quan-qing, et al.
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Department of Rehabilitation Medicine, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To observe the long-term effect of perioperative progressive comprehensive rehabilitation intervention on the upper limb function in patients receiving radical mastectomy for breast cancer. Methods Eighty-five female patients who underwent radical mastectomy for breast cancer in the People′s Hospital of Guangxi Zhuang Autonomous Region from March 2018 to March 2020 were selected and randomly divided into observation group(n=45) and control group(n=40). The observation group received perioperative progressive comprehensive rehabilitation intervention, while the control group received routine rehabilitation intervention. The active range of motion and Constant score of bilateral upper extremity shoulder joints were compared between the two groups before surgery, 1 month after surgery, 3 months after surgery, and 12 months after surgery. Results The ranges of motion of shoulder flexion, abduction, extension, internal rotation and external rotation were improved to different degrees in both groups 1 month, 3 months and 12 months after surgery, and the improvements of shoulder flexion, abduction and extension in the observation group were significantly better than those in the control group(P<0.05). The incidence rates of upper extremity lymphedema in the observation group were lower than those in the control group 1 month, 3 months and 12 months after surgery, but the differences were not statistically significant(8.89% vs 12.50%, 13.33% vs 22.50%, 15.56% vs 30.00%; P>0.05). The Constant scores were improved in the two groups 1 month, 3 months and 12 months after surgery, and the Constant scores in the observation group were higher than those in the control group, with statistically significant differences between the two groups(P<0.05). Conclusion Perioperative progressive comprehensive rehabilitation intervention can continuously improve the active range of motion and Constant score of the affected shoulder joint after radical mastectomy, which is beneficial to the recovery of upper extremity function. |
| Key words: Perioperative period Breast cancer Comprehensive rehabilitation Upper limb function Long-term efficacy |
