乳腺癌根治术后患侧上肢功能锻炼的时机选择

目的]探讨乳腺癌病人根治术后患侧上肢功能锻炼时机对上肢功能恢复的影响,从而选择最佳锻炼时机以利于病人康复。方法]60例乳腺癌病人随机分为对照组和实验组各30例,对照组于常规乳腺癌根治术后第1天开始患侧上肢功能锻炼,实验组则于常规术后第7天开始进行,两组均采用渐进式功能锻炼。两组病人均在术前第1天和术后第14天测量患侧上肢功能,并观察术后并发症。结果]两组病人术后第14天患侧上肢上举、后伸、外旋差距及生活自理能力差异均无统计学意义(P>0.05);术后14d并发症发生率,对照组(66.7%)明显高于实验组(23.3%),两组比较有统计学意义(P<0.05)。结论]乳腺癌病人根治术后术后第7天开始进行患侧上肢功能锻炼对患侧上肢功能恢复无影响,而且有利于减少急性期并发症,提高病人功能锻炼的依从性和生活质量。

Selection of opportunity for functional exercise of patients with affected upper extremity after underwent breast cancer radical operation

Objective: To probe into the influence of the time of starting functional exercise on rehabilitation of the affected upper limbs of patients after underwent breast cancer radical operation, so as to choose the optimal training time for patients' rehabilitation. Method: A total of 60 breast cancer patients were divided into test and control group randomly and equally (30 cases each). Patients of control group started functional exercises of the affected upper limbs the first day of routine breast cancer radical operation. While patients of control group started on the seventh day after the routine operation, and gradual functional exercises were adopted by both of the groups. The functions of affected limbs of patients were measured at one day before operation and on the fourteenth day after operation and post-operative complications were observed. Result: There were no significant differences in daily life self-care ability, superduct, back extention, extorsion differences between the two groups patients fourteen days after operation(P>0.05).In terms of postoperative complications incidences,among patients of control group was 66.7% obviously higher than 23.3% of test group patients fourteen days after operation (P<0.05).Conclusion: There was no difference between patients started functional exercise of affected limbs later (seven days) after breast cancer operation and those started earlier (the first day) after operation on the functional rehabilitation of patients' affected upper limb.It is benefit for reducing complications at acute stage, enhancing patients' compliance on functional exercise and the living quality to start function exercise of affected upper limbs a little later after breast cancer radical operation.