乳腺癌根治术后患肢早期功能锻炼效果研究

目的探讨乳腺癌根治术后病人患肢功能锻炼开始的最佳时限.方法对424例乳腺癌根治术后病人随机分为A组、B组和C组,参照中国医科大学肿瘤医院乳腺癌根治术后功能锻炼操,术后12 h、24 h、72 h三个时限采用我科改良的功能操进行锻炼,并以患肢伤口引流、皮瓣生长成活、伤口Ⅰ期愈合、4周内患肢功能恢复情况为效果评价标准.结果术后12 h(A组)开始患肢功能锻炼组与其他两组比较,患肢功能恢复及伤口Ⅰ期愈合较好、并发症发生率较低、平均住院天数缩短.结论乳腺癌根治术后12 h开始功能锻炼,安全有效,有利于病人早期康复及尽快恢复正常生活.

Study on effect of limb's early functional exercise after radical mastectomy

Objective To discuss the optimal time of limb functional exercise after radical mastectomy.Methods Four hundred and twenty four patients with breast cancer after radical mastectomy were divided into A, B and C groups randomly. Different time of modified functional exercise after surgery, including 12 h, 24 h and 72 h was applied in different groups respectively. The criteria of effect evaluation were as followed: the drainage of the wound, the survival of skin flap, the wound cicatrize in the first state and the recovery of limb's function within four weeks.Results The patients in A group had the best effect in terms of wound healing in the first state and limb's function recovery with the lowest rate of complication and the shortest staying in hospital, when compared with the patients in B and C groups.Conclusion It is effective and safe for the patients to do limb functional exercise within 12 h after radical mastectomy, which will help the patients to recover earlier and better.