CAJ | 학술논문

[目的]探讨全程功能锻炼对乳腺癌根治术后患侧上肢水肿的影响。[方法]将180例乳腺癌根治术病人随机分为对照组90例和观察组90例，对照组行常规护理；观察组手术前观看乳腺癌术后功能锻炼DVD光盘并由护士指导练习，术后自病人清醒后开始直到出院后接受系列的功能锻炼；测量两组病人健侧与患侧上肢各部位周径，比较两组病人患侧上肢水肿发生程度。[结果]观察组患侧上肢水肿的发生率明显低于对照组(P<0.05)。[结论]全程功能锻炼能有效降低乳腺癌根治术后患侧上肢水肿的发生。
[목적]탐토전정공능단련대유선암근치술후환측상지수종적영향。[방법]장180례유선암근치술병인수궤분위대조조90례화관찰조90례，대조조행상규호리；관찰조수술전관간유선암술후공능단련DVD광반병유호사지도연습，술후자병인청성후개시직도출원후접수계렬적공능단련；측량량조병인건측여환측상지각부위주경，비교량조병인환측상지수종발생정도。[결과]관찰조환측상지수종적발생솔명현저우대조조(P<0.05)。[결론]전정공능단련능유효강저유선암근치술후환측상지수종적발생。
Objective:To probe into the influence of full functional exercises on affected side of upper limb edema in patients after radical mastectomy.Methods:A total of 180 patients accepted radical mastectomy were random-ly divided into control group and observation group 90 cases each.Patients in control group received routine nursing care.Patients in observation group watched a DVD CD on breast cancer postoperative functional exerci-ses before operation and practiced guided by nurses.And patients received series of functional exercises since a-wake up until discharged from hospital.The circumference of all parts of upper extremities(healthy and cured sides)of each patient was measured in both groups.And to compare edema degree of cured upper limb of pa-tients between the two groups.Results:The occurrence of affected side of upper limb edema of observation group was lower than that of control group(P<0.05).Conclusion:Full functional exercises can effectively re-duce the incidence of affected side of upper limb edema in patients after radical mastectomy.