《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (7): 699-700.

• 论文 • 上一篇    

乳腺癌术后早期阶段性系统性患肢功能康复锻炼

黄秀英,余辉,林少琴   

  1. 1.华南肿瘤学国家重点试验室,广东广州市510060;2.中山大学肿瘤防治中心胸科,广东广州市510060。
  • 收稿日期:2012-02-25 修回日期:2012-03-09 出版日期:2012-07-25 发布日期:2012-07-25
  • 通讯作者: 余辉

Early Exercises of Affected Arm for Postoperative Breast Cancer Patients

HUANG Xiu-ying, YU Hui, LIN Shao-qin.   

  1. State Key Laboratory of Oncology in South China, Department of Thoracic Surgery, Cancer Center, Sun Yat-sen University, Guangzhou 510060, Guangdong, China
  • Received:2012-02-25 Revised:2012-03-09 Published:2012-07-25 Online:2012-07-25

摘要: 目的探讨乳腺癌术后早期阶段性系统性功能锻炼对患肢日常活动的影响。方法乳腺癌改良根治术后患者100 例分为对照组和实验组各50 例,对照组行常规护理,实验组行早期阶段性系统性患肢康复训练。4 周后分别评定患侧上肢肩关节活动度和改良Barthel 指数。结果实验组90%肩关节活动度改善,对照组为70%(P<0.05);实验组改良Barthel 指数为(84.5±18.2),优于对照组(51.8±16.6) (P<0.05)。结论早期阶段性系统性功能康复训练能改善乳腺癌术后患肢功能。

关键词: 乳腺癌切除术, 运动疗法, 关节活动度, 日常生活活动能力, 康复护理

Abstract: Objective To explore the effect of early systemic phased exercise post mastectomy on the recovery of activities of daily living. Methods 100 patients who received modified radical mastectomy were assigned to the experimental group and control group with 50 patients in each group. They all accepted routine nursing, and the experimental group accepted early systemic phased exercise in addition. They were assessed with range of motion (ROM) of shoulder and modified Barthel Index (MBI). Results ROM of shoulder improved in 90% of the experimental group and 70% of the control group (P<0.05). MBI was (84.5±18.2) in the experimental group and (51.8±16.6) in control group (P<0.05) . Conclusion Early systemic phased exercises may promote the recovery of the affected arm for the patients post mastectomy.

Key words: mastectomy, exercise, range of motion, activities of daily living, rehabilitation nursing