推拿治疗乳腺癌术后上肢淋巴水肿患者疗效及对QOL评分的影响

目的:分析推拿治疗对乳腺癌术后上肢淋巴水肿患者的有效性及患者生存质量测定量表简表(QOL)评分的影响。方法:随机抽样法选取2017年6月至2019年6月收治的82例乳腺癌术后上肢淋巴水肿患者,按双盲法分为观察组和对照组各41例。对照组采用常规西医治疗,观察组在上述基础上联合使用推拿治疗,对比两组疗效、临床症状评分、症状恢复时间、治疗前后肩关节活动范围(ROM)和压痛评分以及QOL评分改善情况等。结果:观察组总有效率明显高于对照组,差异具有统计学意义(P<0.001);观察组肿胀、疼痛、活动受限、无力、麻木和皮肤硬化等症状评分均低于对照组,差异具有统计学意义(P<0.001);两组治疗后ROM和压痛评分均有所改善,差异具有统计学意义(P<0.001);观察组ROM评分高于对照组而压痛评分低于对照组,差异具有统计学意义(P<0.001);观察组QOL评分显著高于对照组,差异具有统计学意义(P<0.001)。结论:乳腺癌术后上肢淋巴水肿患者给予推拿治疗可提高疗效,改善关节活动度和减少压痛程度,改善患者生存质量并促进患者症状恢复。

Effect of Tuina Therapy on Patients with Upper Extremity Lymphedema after Breast Cancer Operation and the Quality of Life Scale Score

Objective:To analyze the effect of tuina therapy on upper limb lymphedema after breast cancer and the quality of life scale(QOL)score.Methods:Eighty-two patients with upper extremity lymphedema after breast cancer hospitalized from June 2017 to June 2019 were divided into observation group and control group double-blinded,41 patients in each group.The control group was treated with conventional western medicine,and the observation group was treated with traditional Chinese medicine tuina besides conventional western medicine.The efficacy,clinical syndrome score,symptom recovery time and quality,articulatio humeri range of movement(ROM)before and after treatment,tenderness scores and QOL score were compared between two groups.Results:The total effectiveness rate in the observation group was significantly higher than that in the control group,with statistical difference(P<0.001).The scores of swelling,pain,activity limitation,weakness,numbness and skin sclerosis in the observation group were lower than those in the control group,with statistical difference(P<0.001).After the treatment,in both groups,ROM and tenderness scores were improved,with statistical difference(P<0.001);group ROM score in the observation was higher than that in the control group and the tenderness score in the observation group was lower than that in the control group,with statistical difference(P<0.001);QOL score in the observation group was significantly higher than that in the control group,with statistical difference(P<0.001).Conclusions:Tuina therapy on the upper limb lymphedema after breast cancer surgery can improve clinical treatment effect,increase ROM of joints,reduce tenderness,improve QOL and promote symptom recovery.