中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
12期
1771-1773
,共3页
乳腺肿瘤%功能锻炼%康复
乳腺腫瘤%功能鍛煉%康複
유선종류%공능단련%강복
Breast neoplasms%Functional exercise%Rehabilitation
目的：探讨早期阶段性功能锻炼对乳腺癌改良根治手术患者康复效果的影响及临床应用价值。方法选择乳腺癌术后患者104例，采用随机数字表法分为观察组和对照组，对照组给予常规锻炼，观察组给予术后早期阶段性功能锻炼，记录两组临床康复效果。结果观察组治疗总有效率为94．23％，对照组治疗总有效率为75．00％，组间差异有统计学意义（χ2＝7．386，P ＜0．05）。观察组干预后最大心率时间（4．67±1．21）min，距离（256．37±30．19）m，心率恢复时间（6．83±1．43）min，主观用力感觉评分（10．33±1．68）分；对照组干预后最大心率时间（3．21±0．68）min，距离（189．71±17．83）m，心率恢复时间（10．38±2．57）min，主观用力感觉评分（7．75±0．65）分，组间差异均有统计学意义（t ＝7．585、13．709、8．704、10．328，均 P ＜0．05）。观察组发生上肢水肿3例，皮下积液2例，皮瓣坏死2例；对照组发生上肢水肿11例，皮下积液9例，皮瓣坏死8例，组间差异均有统计学意义（χ2＝5．282、4．981、3．983，均 P ＜0．05）。结论早期阶段性功能锻炼用于乳腺癌改良根治术患者，可以有效改善患者肩关节活动度，提升患者耐力，降低术后并发症发生，值得在临床上推广应用。
目的：探討早期階段性功能鍛煉對乳腺癌改良根治手術患者康複效果的影響及臨床應用價值。方法選擇乳腺癌術後患者104例，採用隨機數字錶法分為觀察組和對照組，對照組給予常規鍛煉，觀察組給予術後早期階段性功能鍛煉，記錄兩組臨床康複效果。結果觀察組治療總有效率為94．23％，對照組治療總有效率為75．00％，組間差異有統計學意義（χ2＝7．386，P ＜0．05）。觀察組榦預後最大心率時間（4．67±1．21）min，距離（256．37±30．19）m，心率恢複時間（6．83±1．43）min，主觀用力感覺評分（10．33±1．68）分；對照組榦預後最大心率時間（3．21±0．68）min，距離（189．71±17．83）m，心率恢複時間（10．38±2．57）min，主觀用力感覺評分（7．75±0．65）分，組間差異均有統計學意義（t ＝7．585、13．709、8．704、10．328，均 P ＜0．05）。觀察組髮生上肢水腫3例，皮下積液2例，皮瓣壞死2例；對照組髮生上肢水腫11例，皮下積液9例，皮瓣壞死8例，組間差異均有統計學意義（χ2＝5．282、4．981、3．983，均 P ＜0．05）。結論早期階段性功能鍛煉用于乳腺癌改良根治術患者，可以有效改善患者肩關節活動度，提升患者耐力，降低術後併髮癥髮生，值得在臨床上推廣應用。
목적：탐토조기계단성공능단련대유선암개량근치수술환자강복효과적영향급림상응용개치。방법선택유선암술후환자104례，채용수궤수자표법분위관찰조화대조조，대조조급여상규단련，관찰조급여술후조기계단성공능단련，기록량조림상강복효과。결과관찰조치료총유효솔위94．23％，대조조치료총유효솔위75．00％，조간차이유통계학의의（χ2＝7．386，P ＜0．05）。관찰조간예후최대심솔시간（4．67±1．21）min，거리（256．37±30．19）m，심솔회복시간（6．83±1．43）min，주관용력감각평분（10．33±1．68）분；대조조간예후최대심솔시간（3．21±0．68）min，거리（189．71±17．83）m，심솔회복시간（10．38±2．57）min，주관용력감각평분（7．75±0．65）분，조간차이균유통계학의의（t ＝7．585、13．709、8．704、10．328，균 P ＜0．05）。관찰조발생상지수종3례，피하적액2례，피판배사2례；대조조발생상지수종11례，피하적액9례，피판배사8례，조간차이균유통계학의의（χ2＝5．282、4．981、3．983，균 P ＜0．05）。결론조기계단성공능단련용우유선암개량근치술환자，가이유효개선환자견관절활동도，제승환자내력，강저술후병발증발생，치득재림상상추엄응용。
Objective To explore the effects and clinical application value of early stage functional exercise rehabilitation in patients with breast cancer modified radical surgery.Methods 104 postoperative breast cancer patients was divided into the observation group and control group by the random number table method,the control group was given routine exercise,the observation group was given early stage postoperative function exercise,the effect of the two groups of clinical rehabilitation was recorded.Results The total effectiveness of the observation group was 94.23%,which of the control group was 75.00%,the difference between the two groups was statistical significance (χ2 =7.386,P <0.05).The indexes in the observation group after the intervention were time of maximum heart rate (4.67 ±1.21)min,distance (256.37 ±30.19)m,heart rate recovery time (6.83 ±1.43)min,subjective feeling hard score (10.33 ±1.68);The control group after the intervention time of maximum heart rate (3.21 ±0.68)min, distance (189.71 ±17.83)m,heart rate recovery time (10.38 ±2.57)min,subjective feeling hard score (7.75 ± 0.65)points,the difference between the two groups was statistical significance (t =7.585,13.709,8.704,13.709, P <0.05).The observation group had 3 cases of upper limb,2 cases of edema,subcutaneous effusion,2 cases of skin flap necrosis;The control group in upper extremity edema in 11 cases,9 cases of subcutaneous effusion,8 cases of skin flap necrosis,the difference between the two groups was statistical significance (χ2 =5.282,4.981,5.282,P <0.05).Conclusion Application of function exercise early stage in patients with breast cancer can modified radical shoulder joint activity,improve patient endurance,reduce the postoperative complications,which is worthy of populari-zation and clinical application.
