| 吴 蒙,廖妍妍,陈玫洁,朱 曼,李 珊.肩关节运动八式康复锻炼联合太极拳锻炼对乳腺癌改良根治术后患者患肢功能恢复、睡眠质量和免疫功能的影响[J].,2022,(17):3255-3258 |
| 肩关节运动八式康复锻炼联合太极拳锻炼对乳腺癌改良根治术后患者患肢功能恢复、睡眠质量和免疫功能的影响 |
| Effect of Eight Types of Shoulder Joint Exercises Combined with Taijiquan Exercise on Functional Recovery of Affected Limb, Sleep Quality and Immune Function of Patients after Modified Radical Mastectomy for Breast Cancer |
| 投稿时间：2022-02-28 修订日期：2022-03-23 |
| DOI：10.13241/j.cnki.pmb.2022.17.010 |
| 中文关键词: 肩关节运动八式康复锻炼 太极拳锻炼 乳腺癌改良根治术 患肢功能 睡眠质量 免疫功能 |
| 英文关键词: Eight types of shoulder joint exercises Taijiquan exercise Modified radical mastectomy for breast cancer Function of affected limb Sleep quality Immune function |
| 基金项目:国家自然科学基金项目（82172683） |
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| 中文摘要: |
| 摘要 目的：探讨肩关节运动八式康复锻炼联合太极拳锻炼在乳腺癌改良根治术后患者中的临床应用价值。方法：2020年1月至2021年12月，选取我院收治的乳腺癌改良根治术后患者96例，按照随机数字表法分为两组，分别为对照组48例，接受肩关节运动八式康复锻炼；观察组48例，接受肩关节运动八式康复锻炼联合太极拳锻炼。对比两组患肢功能恢复情况、睡眠质量、免疫功能变化以及淋巴水肿发生率。结果：干预12周后，两组患肢外展、前屈、后伸的关节活动度（ROM）均扩大，且观察组大于对照组（P<0.05）。干预12周后，两组匹兹堡睡眠质量指数量表（PSQI）各条目评分均下降，且观察组低于对照组（P<0.05）。干预12周后，两组CD3+、CD4+、CD4+/CD8+均升高，且观察组高于对照组，两组CD8+均下降，且观察组低于对照组（P<0.05）。观察组的淋巴水肿发生率低于对照组（P<0.05）。结论：乳腺癌改良根治术后患者在肩关节运动八式康复锻炼基础上，联合太极拳锻炼，可有效改善睡眠质量和免疫功能，促进患肢功能恢复，并可降低淋巴水肿发生率，效果较好。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical observation of shoulder joint exercise eight type rehabilitation exercise combined with Taijiquan in patients with modified radical mastectomy for breast cancer. Methods: From January 2020 to December 2021, 96 patients with modified radical mastectomy for breast cancer were selected and divided into two groups according to the random number table. They were 48 cases in the control group and treated with eight exercises in shoulder joint exercise. 48 cases in the observation group and treated with eight type rehabilitation exercise of shoulder joint exercise combined with Taijiquan exercise. Functional recovery of affected limb, sleep quality, changes of immune function and incidence of lymphedema were compared between the two groups. Results: 12 weeks after intervention, range of motion (ROM) of affected limbs in the two groups were expanded, and the observation group was larger than the control group (P<0.05). 12 weeks after intervention, scores of Pittsburgh Sleep Quality Index (PSQI) items in the two groups decreased, and the observation group was lower than the control group (P<0.05). 12 weeks after intervention, CD3+, CD4+, CD4+/CD8+ increased in the two groups, and the observation group was higher than the control group, while CD8+ decreased in the two groups, and the observation group was lower than the control group (P<0.05). The incidence of lymphedema in observation group was lower than that in control group (P<0.05). Conclusion: Based on the eight types of shoulder joint exercises, combined with Taijiquan exercise, the patients with modified radical mastectomy for breast cancer can effectively improve sleep quality and immune function, promote recovery of limb function, and reduce the incidence of lymphedema, which has good effect. |
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