居家康复锻炼对乳腺癌患者术后淋巴水肿治疗的作用

目的探讨居家康复锻炼对乳腺癌患者术后淋巴水肿的治疗效果。 方法选取2019年10月至2021年4月期间在中南大学湘雅医学院附属海口医院肿瘤化疗科治疗的乳腺癌术后淋巴水肿患者80例，采用随机分组将患者平均分为2组，对照组保持通常的自我护理，锻炼组在对照组的基础上给予患者居家康复训练指导，并通过检测患者淋巴水肿手臂周径大小、患肢间体积差异、肩部关节运动范围、手臂肌肉力量、生活质量等方面评估康复锻炼对淋巴水肿治疗的作用。 结果2组患者在经过为期至少6周的干预康复后，与对照组相比，锻炼组的淋巴水肿手臂周径大小有所下降（P＜0.05），手臂体积也随之变小（P＜0.05）；锻炼组的肩关节运动范围恢复情况相比对照组显著提高（P＜0.05）。此外，在锻炼组中患者的手臂屈曲肌、外展肌、外旋肌、内旋肌和水平内收肌的肌力水平都显著增强（P＜0.05）；最后通过乳腺癌患者生命质量测定量表（FACT-B表）对患者生活质量进行评估之后发现，锻炼组患者各方面的生活质量都有所改善。 结论康复锻炼对于乳腺癌患者术后淋巴水肿的治疗是安全有效的，在一定程度上，有益于淋巴水肿的康复和预后，这为居家康复锻炼治疗乳腺癌术后淋巴水肿治疗提供了参考依据。

Therapeutic effect of home-based rehabilitation exercise on postoperative lymphedema in breast cancer patients

ObjectiveTo explore the therapeutic effect of home-based rehabilitation exercise on postoperative lymphedema in patients with breast cancer. MethodsEighty breast cancer patients with postoperative lymphedema at Department of Cancer Chemotherapy, Haikou Hospital, Xiangya School of Medicine, Central South University from October 2021 to April 2019 were selected and randomly divided into either a control group or an exercise group. The control group was subjected to usual self-care, and the exercise group underwent home-based rehabilitation exercise on the basis of usual self-care. The therapeutic effect of rehabilitation exercise on lymphedema was evaluated by measuring the size of arm circumference, volume difference between affected limbs, range of motion of the shoulder joint, arm muscle strength, quality of life, and other indicators. ResultsAfter at least 6 weeks of intervention and rehabilitation, compared with the control group, the arm circumference size and arm volume decreased significantly in the exercise group (P＜0.05). The recovery of shoulder motion range in the exercise group was significantly better than that of the control group (P＜0.05). In addition, the muscle strength levels of the flexor, abductor, external pronator, internal pronator, and horizontal adductor were significantly increased in the exercise group (P＜0.05). The exercise group had improved quality of life in all dimensions, according to Functional Assessment of Cancer Therapy-Breast assessment. ConclusionRehabilitation exercise is safe and effective in the treatment of postoperative lymphedema in breast cancer patients, which provides a reference for home-based rehabilitation exercise in the treatment of lymphedema after breast cancer surgery.