国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
2期
138-142
,共5页
陈锦坚%罗爱萍%何颜英%邓顺华%李春梅%刘莉萍%张清
陳錦堅%囉愛萍%何顏英%鄧順華%李春梅%劉莉萍%張清
진금견%라애평%하안영%산순화%리춘매%류리평%장청
康复操%乳腺癌%改良根治术%临床应用%患肢功能
康複操%乳腺癌%改良根治術%臨床應用%患肢功能
강복조%유선암%개량근치술%림상응용%환지공능
Rehabilitation exercises%Breast cancer%,Modified radical mastectomy%Clinical Application%Limb function
目的 探讨乳腺癌术后康复操的临床应用研究.方法 将120例乳腺癌患者随机分为康复组60例和对照组60例.康复组根据患者的手术方式、手术创面大小实施乳腺癌术后康复操进行功能训炼;该康复操功能训炼共4个阶段,第1阶段主要锻炼手、腕部、肘关节及头部的功能训炼;第2阶段、第3阶段主要为肩关节的训炼;第4阶段主要为手指爬墙运动及继续肩关节的训炼.对照组予常规康复护理.于术后12d及出院前,测量患肢肩部功能恢复情况及观察两组住院天数、费用及满意度.结果 乳腺癌术后康复操能有效改进患者术后患肢的外展为(94.3±3.5)度、前屈(97.8±1.3)度、后伸(36.1±2.2)度、手指爬墙高度为(14.9.±3.5)cm,以及患肢功能恢复情况及住院天数、费用及满意度明显优于对照组(P<0.05).结论 乳腺癌患者应用乳腺癌术后康复操进行功能训炼,能有效改善患肢功能的恢复,有利于调节患者心理,提高生活质量及满意度,缩短住院时间,减少住院费用.
目的 探討乳腺癌術後康複操的臨床應用研究.方法 將120例乳腺癌患者隨機分為康複組60例和對照組60例.康複組根據患者的手術方式、手術創麵大小實施乳腺癌術後康複操進行功能訓煉;該康複操功能訓煉共4箇階段,第1階段主要鍛煉手、腕部、肘關節及頭部的功能訓煉;第2階段、第3階段主要為肩關節的訓煉;第4階段主要為手指爬牆運動及繼續肩關節的訓煉.對照組予常規康複護理.于術後12d及齣院前,測量患肢肩部功能恢複情況及觀察兩組住院天數、費用及滿意度.結果 乳腺癌術後康複操能有效改進患者術後患肢的外展為(94.3±3.5)度、前屈(97.8±1.3)度、後伸(36.1±2.2)度、手指爬牆高度為(14.9.±3.5)cm,以及患肢功能恢複情況及住院天數、費用及滿意度明顯優于對照組(P<0.05).結論 乳腺癌患者應用乳腺癌術後康複操進行功能訓煉,能有效改善患肢功能的恢複,有利于調節患者心理,提高生活質量及滿意度,縮短住院時間,減少住院費用.
목적 탐토유선암술후강복조적림상응용연구.방법 장120례유선암환자수궤분위강복조60례화대조조60례.강복조근거환자적수술방식、수술창면대소실시유선암술후강복조진행공능훈련;해강복조공능훈련공4개계단,제1계단주요단련수、완부、주관절급두부적공능훈련;제2계단、제3계단주요위견관절적훈련;제4계단주요위수지파장운동급계속견관절적훈련.대조조여상규강복호리.우술후12d급출원전,측량환지견부공능회복정황급관찰량조주원천수、비용급만의도.결과 유선암술후강복조능유효개진환자술후환지적외전위(94.3±3.5)도、전굴(97.8±1.3)도、후신(36.1±2.2)도、수지파장고도위(14.9.±3.5)cm,이급환지공능회복정황급주원천수、비용급만의도명현우우대조조(P<0.05).결론 유선암환자응용유선암술후강복조진행공능훈련,능유효개선환지공능적회복,유리우조절환자심리,제고생활질량급만의도,축단주원시간,감소주원비용.
Objective To study the clinical application of rehabilitation exercise after breast cancer. Methods 120 cases of breast cancer patients were randomly divided into rehabilitation group and control group with 60 cases for each group. According to different surgical methods and wound surface size,functional rehabilitation exercise training refining was carried out in rehabilitation group; there are four stages in all for the function of the healing exercise. The first stage is mainly to take exercise with elbow joint and head. The key to the second and the third stages is shoulder joints to train. The main part consists of the fingers climbing the wall and shoulder joints sport going on for the fourth stage. 12 days after surgery and before discharge, the recovery of limb function and shoulder were measured as well as the length of stay, fare and satisfaction, which are obviously better than those in control group. Results Rehabilitation exercise after breast cancer patients can improve limb abduction, flexion, extension, finger climb the wall function,the functional recovery of limb rehabilitation group and the length of stay, fare and satisfaction better than the control group. Conclusion Postoperative functional rehabilitation exercise of training to breast cancer patients can effectively enhance the recovery of limb function, help to balance mental pressure, improve quality of life and satisfaction, shorten the length of hospital stay and reduce hospitalization costs.
