乳腺癌术后患肢功能锻炼带的制作与应用

目的 寻找一种安全、舒适、有效的乳腺癌术后患肢功能锻炼方法,充分调动乳腺癌术后患者主动锻炼的积极性,改善肩关节功能,最大限度地提高患者的生存质量. 方法 将216例实施乳腺癌改良根治术患者按随机数字表随机分成观察组和对照组各108例.对照组术后采用徒手锻炼的 方法 进行锻炼,观察组术后根据徒手锻炼的原则,采用自制患肢功能锻炼带,协助患肢分阶段练习.观察2组患者在锻炼的主动性、术后并发症和患肢功能恢复等方面有无差异,进行χ2检验. 结果 术后观察组在指腕肘关节功能评价、肩关节功能、术后2个月生活自理情况、患肢肿胀麻木、患肢抬高受限、患肢不能外展方而均优于对照组. 结论 自制乳腺癌术后患肢功能锻炼带,能充分调动患者主动锻炼的积极性,防止瘢痕挛缩,最大限度地恢复患侧上肢功能、缩短康复时间;且使用方便、结构简单、制作容易、易于清洗,为乳腺癌术后患肢功能锻炼提供了一种新的有效方法,值得临床推广应用.

Manufacture and clinical application of limb functional exercise band after radical operation of mastocarcinoma

Objective To search for safe and effective functional exercise after radical operation of mastocarcinoma and fully arouse patients' enthusiasm for functional exercise,alleviate the shoulder joint function and improve the quality of patients life. Methods 216 patients after radical operation of mastocarcinoma were randomized into the observation group (108 cases) and the control group (108 cases). The patients in the control group only self trained.The observation group used limb functional exercise band according to the principle of self training by stage. The initiative of exercise, postoperative complication and functional recovery of injured limbs were observed in the two groups and underwentχ2 test. Results Significant difference was found between the two groups in training activeness, shoulder joint function,daily life activity 2 months after operation, swelling and numbness of affected limb,constrained lift and abduction of affected limb. Conclusions Using limb functional exercise band can fully arouse enthusiasm of functional exercise of patients, prevent contracture of scar, recover upper limb function to the utmost degree,shorten rehabilitation time. Whatsmore, it has a simple structure and is convenient to use,easy to be made and washed.It provides a new approach to limb functional exercise after radical operation of mastocarcinoma and is worthy of wide clinic application.