压力衣治疗对乳腺癌术后上肢淋巴水肿的影响

目的:观察压力衣佩戴治疗对乳腺癌术后并发上肢淋巴水肿患者的长期疗效和对上肢功能的影响。方法:60例乳腺癌术后并发上肢淋巴水肿的患者随机分为2组各30例。观察组患者穿戴治疗师为其量身订制的压力衣进行治疗,每天佩戴时间不少于23h,同时在治疗师或护士指导下在家中进行上肢的向心性按摩及功能锻练;对照组患者只在治疗师或护士指导下在家中进行上肢的向心性按摩及功能锻练。分别在治疗前和治疗6个月后采用上肢淋巴水肿程度分级和上肢功能指数(UEFI)评分进行评估。结果:治疗6个月后,观察组水肿程度较治疗前及对照组均有下降(P0.01,0.05),对照组治疗前后差异无统计学意义。治疗后,2组UEFI评分均较治疗前明显提高(P0.01),且观察组优于对照组(P0.01)。结论:长期佩戴压力衣可明显减轻乳腺癌术后上肢淋巴水肿程度,并更有利于上肢功能的恢复。

Effects of pressure garment therapy on upper limb lymphedema in postoperative breast cancer patients

Objective: To observe the long-term effects of pressure garment therapy on upper limb lymphedema and upper limb function in postoperative breast cancer patients. Methods: Sixty postoperative breast cancer patients who had upper limb lymphedema were divided into two groups (interventional group and control group) randomly. The patients in the interventional group were treated with pressure garment therapy at least 23 h per day, and other therapies were the same as those in the control group. The patients in the control group were treated by centripetal massage and upper limb exercise guided at home. Upper extremity lymphedema degree classification and upper extremity functional index were performed before and 6 months after treatment. Results: After treatment for 6 months, upper extremity lymphedema degrees were alleviated and upper extremity functions were improved in both groups. All scores were varied significantly right after training in both groups (P<0.01) except the upper extremity lymphedema degrees in the control group (P>0.05). The changes were more significant after treatment in the interventional group than in the control group (P<0.05). Conclusions: The long-term pressure garment therapy could reduce upper limb lymphedema and recover upper limb function in postoperative breast cancer patients.