| 张小辉,李 丹,文春华,刘素珍,李 仁,蔡 娟.空气压力波联合等速肌力训练对乳腺癌改良根治术后康复效果的影响研究[J].,2023,(17):3393-3396 |
| 空气压力波联合等速肌力训练对乳腺癌改良根治术后康复效果的影响研究 |
| Effect Study of Rehabilitation Efficacy of Air Pressure Wave Combined with Isokinetic Muscle Strength Training after Modified Radical Mastectomy for Breast Cancer |
| 投稿时间：2023-05-16 修订日期：2023-06-11 |
| DOI：10.13241/j.cnki.pmb.2023.17.037 |
| 中文关键词: 空气压力波 等速肌力训练 乳腺癌 改良根治术 康复效果 |
| 英文关键词: Air pressure wave Isokinetic muscle strength training Breast cancer Modified radical mastectomy Rehabilitation efficacy |
| 基金项目:国家自然科学基金青年基金项目2205112）；湖南省卫生健康委科研计划项目（202204135364） |
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| 中文摘要: |
| 摘要 目的：观察空气压力波联合等速肌力训练对乳腺癌改良根治术后康复效果。方法：选取湖南中医药大学第一附属医院于2021年1月-2022年12月期间收治的160例行乳腺癌改良根治术的患者，采用双色球法分为对照组（等速肌力训练联合常规干预）和研究组（空气压力波联合等速肌力训练和常规干预），每组例数为80例。比较两组淋巴水肿发生率、视觉模拟评分法（VAS）、Constant-Murley肩关节评分、关节活动度（ROM）和三角肌下缘、肘上、肘下、腕上的周径，同时观察两组生活质量变化情况。结果：研究组的淋巴水肿发生率低于对照组（P<0.05）。干预1个月后，研究组VAS低于对照组，Constant-Murley肩关节评分和ROM高于对照组（P<0.05）。干预1个月后，研究组三角肌下缘、肘上、肘下、腕上的周径小于对照组（P<0.05）。干预1个月后，研究组生理职能（RP）、情感职能（RE）、社会功能（SF）、生理功能（PF）、总体健康（GH）、活力（VT）、躯体疼痛（BP）及精神健康（MH）评分均高于对照组（P<0.05）。结论：乳腺癌改良根治术后康复采用等速肌力训练联合空气压力波干预，可减轻患者术后疼痛，缩小上肢周径，降低淋巴水肿的发生率，促进患者肩关节功能和生活质量改善。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the rehabilitation efficacy of air pressure wave combine with isokinetic muscle strength training after modified radical mastectomy for breast cancer. Methods: 160 patients with breast cancer treated with modified radical mastectomy who were admitted to the First Affiliated Hospital of Hunan University of Chinese Medicine from January 2021 to December 2022 were selected, and they were divide into control group (isokinetic muscle strength training combined with routine intervention) and study group (air pressure wave combined with isokinetic muscle strength training and routine intervention) br the dual color ball method, 80 cases per group. The incidence of lymphedema, visual analogue scale (VAS), Constant-Murley shoulder joint scores, range of motion (ROM) and the circumference of the lower edge, upper elbow, lower elbow, and upper wrist of the deltoid muscle muscle were compared between two groups, and the quality of life in two groups was observed at the same time. Results: The incidence of lymphedema in study group was lower than that in control group (P<0.05). 1 month after intervention, the VAS in study group was lower than that in control group, and the Constant-Murley shoulder joint scores and ROM were higher than those in control group (P<0.05). 1 month after intervention, the circumference of the lower edge, upper elbow, lower elbow and upper wrist of the deltoid muscle in study group were smaller than those in control group (P<0.05). 1 month after intervention, the scores of role physical (RP), role emotional (RE), social function (SF), physical function (PF), general health (GH), vitality (VT), bodily pain (BP), and mental health (MH) in study group were higher than those in control group(P<0.05). Conclusion: Isokinetic muscle strength training combine with air pressure wave intervention are used for rehabilitation after modified radical mastectomy for breast cancer, which can reduce the postoperative pain of patients, reduce the circumference of upper limbs, reduce the incidence of lymphedema, and promote the improvement of shoulder joint function and quality of life of patients. |
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