《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

抗阻呼吸训练对乳腺癌术后上肢淋巴水肿的疗效①

苏久龙1a，潘翠环1a，曹腾飞1b，缪萍1a   

  1. 1. 广州医科大学附属第二医院，a. 康复医学科；b. 乳腺外科，广东广州市510260。
  • 出版日期:2016-11-25 发布日期:2016-12-05

Effect of Resistance Breathing Training on Breast Cancer Related Lymphedema

SU Jiu-long1a, PAN Cui-huan1a, CAO Teng-fei1b, MIAO Ping1a   

  1. 1. a. Department of Rehabilitation Medicine; b. Department of Breast Surgery, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510260, China
  • Published:2016-11-25 Online:2016-12-05

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摘要： 目的探讨抗阻呼吸训练对乳腺癌术后上肢淋巴水肿的疗效。方法2013 年10 月~2015 年4 月，60 例乳腺癌术后上肢水肿患者分为治疗组(n=30)和对照组(n=30)，对照组给予消除水肿基础治疗及徒手淋巴引流术，治疗组在此基础上增加抗阻呼吸训练。治疗前及治疗4 周后采用放射性核素淋巴管造影测量患侧上肢淋巴流量；测量双侧上臂周径，计算差值；水置换测量双侧上肢体积差。结果治疗后，两组上肢淋巴流量均增加(t>3.446, P<0.05)，双侧上臂周径差值减小(t>2.143, P<0.05)，双侧上肢体积差值减小(t>1.562, P<0.05)，且治疗组优于对照组(t>1.982, P<0.05)。结论抗阻呼吸训练可进一步增加乳腺癌术后患侧上肢淋巴回流量，减轻淋巴水肿。

关键词: 乳腺癌, 淋巴水肿, 抗阻呼吸训练, 淋巴引流术

Abstract: Objective To observe the effect of resistance breathing training on breast cancer related lymphedema. Methods Sixty breast cancer patients with lymphedema after operation from October, 2013 to April, 2015 were randomly divided into control group (n=30) and experiment group (n=30). The control group received routine rehabilitation and manual lymphatic drainage, while the experiment group received resistance breathing training in addition, for four weeks. Their flow of lymph was measured with emission computer tomography (ECT), and their upper arm circumferences were measured, their upper limb volumes were measured with water displacement before and after treatment. Results The flow of lymph increased in both groups after treatment (t>3.446, P<0.05), while the difference of bilateral upper arm circumferences (t>2.143, P<0.05) and upper limb volumes (t>1.562, P<0.05) reduced, and all the indices improved more in the experiment group than in the control group (t>1.982, P<0.05). Conclusion Resistance breathing training may increase the back flow of lymph, to relieve the lymphedema of injured extremity.

Key words: breast cancer, lymphedema, resistance breathing training, manual lymphatic drainage