联合加味补阳还五汤及艾灸复合护理干预在乳腺癌术后淋巴水肿的应用
详细信息 查看官网全文
- 论文作者：张萍
- 年：2016
- 作者机构：哈尔滨医科大学附属第一医院中西医结合科;
- 论文关键词：乳腺癌手术治疗 ; 上肢淋巴水肿 ; 穴位艾灸 ; 加味补阳还五汤
- 英文论文关键词：Breast cancer surgery ; Nursing intervention ; Upper limb lymphedema ; Acupuncture moxibustion ; Air pressure treatment
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R473.73
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：2027k
- 原文格式：D
- 会议级别：全国
摘要
目的:探讨联合加味补阳还五汤及艾灸复合干预措施在改善乳腺癌术后患者的淋巴水肿的有效性。方法选取行乳腺癌改良根治术后的患者150例,随机分为三组,每组50例。即A组(常规功能锻炼及气压治疗仪)、B组(在常规组的基础上,增加穴位艾灸)和C组(在常规组的基础上,联合加味补阳还五汤及穴位艾灸)。观察术后1周,3个月,6个月,9个月,12个月患肢水肿的护理效果。结果:三组相比,B组、C组明显降低了上肢淋巴水肿发展程度及发生率,并提高了上肢功能康复的程度(P<0.05);B、C两组比较,C组控制远期效果(大于6个月)两者在淋巴水肿控制及上肢功能康复方面差异显著(P<0.05)。结论:联合加味补阳还五汤及穴位艾灸的复合干预方式,能够更好地预防及治疗术后上肢淋巴水肿,提高疗效及患者生活质量。
Objective:To study the different nursing intervention methods on improving the effectiveness of postoperative patients with breast cancer lymphedema. Methods: Selectrows modified radical surgery of 150 cases of patients with breast cancer,they were randomly divided into three groups, it was 50 cases in each group. The group A(normal functional exercise andpsychological nursing) and group B(on the basis of the conventional group, increase the air pressure wave therapy apparatus) and group C(on the basis of the conventional group, increase the air pressurewave therapy apparatus joint acupoints moxibustion). To observe the postoperative 1 week and 3 months, 6 months, 9 months, 12 months nursing effect of limbedema. Results: Three groups compared,group B, group C significantly reduced the degree and the incidence of upper limb lymphedema development, and improve the degree of upper limb function rehabilitation(P < 0.05); in group B andgroup C,the effect of group C lymphedema short-term curative effect is better than that of group B(less than 6 months), the long-term effect(more than 6 months) there was no significant differences inboth lymphedema control and upper limb function rehabilitation. Conclusion: The way of nursing intervention acupoints moxibustion and air wave pressure therapeutic was better in prevention andtreatment of postoperative upper limb lymphedema, and improved the curative effect and patients' quality of life.
Objective:To study the different nursing intervention methods on improving the effectiveness of postoperative patients with breast cancer lymphedema. Methods: Selectrows modified radical surgery of 150 cases of patients with breast cancer,they were randomly divided into three groups, it was 50 cases in each group. The group A(normal functional exercise andpsychological nursing) and group B(on the basis of the conventional group, increase the air pressure wave therapy apparatus) and group C(on the basis of the conventional group, increase the air pressurewave therapy apparatus joint acupoints moxibustion). To observe the postoperative 1 week and 3 months, 6 months, 9 months, 12 months nursing effect of limbedema. Results: Three groups compared,group B, group C significantly reduced the degree and the incidence of upper limb lymphedema development, and improve the degree of upper limb function rehabilitation(P < 0.05); in group B andgroup C,the effect of group C lymphedema short-term curative effect is better than that of group B(less than 6 months), the long-term effect(more than 6 months) there was no significant differences inboth lymphedema control and upper limb function rehabilitation. Conclusion: The way of nursing intervention acupoints moxibustion and air wave pressure therapeutic was better in prevention andtreatment of postoperative upper limb lymphedema, and improved the curative effect and patients' quality of life.
引文
[1]谭基明,梁尚锋,吴国强乳腺癌治疗的外科术式选择(附75例疗效分析)[J].中国现代医学杂志,1998,8(6):40-41.
[2]Radina ME,Armer JM,Culbertson SD,et al.Post-breast cancer lmphedenla:Understanding womegs knowledge of their condition[J]Oneol Nurs Forum,2004,31(1):97-104.
[3]Kwan BW,Jackson J,Loma M,et al.Chronic arm morbidity after curat breast cancer treatment::prevalence and impact on quality of life[J].J Clin Oncol,2002,20(20):4242-4248.
[4]吴少平,江俊,卢武胜,等.介入化疗治疗乳腺癌继发上肢肿胀疗效分析[J]肿瘤防治杂志,2004,11(10):1084-1085.
[5]Paskeu ED,Stark N,Lymph edema:knowledge treatment and inpact among breast cancer survivor[J].Breast,2000,6(7):373-378;
[6]李汉贤,魏耕耘.微波理疗对乳癌术后康复的作用[J].中国肿瘤临床与康复,2001,8(1):86-87.
[7]卢丽芬.综合疗法治疗特复性面神经麻痹[J].中国康复,2007,22(2):123.
[8]张群,张林,彭先兵,等.手术结合微波治疗鼻腔血管瘤[J].中国康复,2007,22(2):132.
[9]段艳芹,李惠萍.医护人员对乳癌术后上肢淋巴水肿的认知状况调查[J].护士进修杂志,2011,26(2):164-166.
[10]娄秀娟,娄国喜,杨良权.艾灸治疗用于乳腺癌术后患肢淋巴水肿的疗效观察[J].世界中医药,2013,8(3):327-328.
[2]Radina ME,Armer JM,Culbertson SD,et al.Post-breast cancer lmphedenla:Understanding womegs knowledge of their condition[J]Oneol Nurs Forum,2004,31(1):97-104.
[3]Kwan BW,Jackson J,Loma M,et al.Chronic arm morbidity after curat breast cancer treatment::prevalence and impact on quality of life[J].J Clin Oncol,2002,20(20):4242-4248.
[4]吴少平,江俊,卢武胜,等.介入化疗治疗乳腺癌继发上肢肿胀疗效分析[J]肿瘤防治杂志,2004,11(10):1084-1085.
[5]Paskeu ED,Stark N,Lymph edema:knowledge treatment and inpact among breast cancer survivor[J].Breast,2000,6(7):373-378;
[6]李汉贤,魏耕耘.微波理疗对乳癌术后康复的作用[J].中国肿瘤临床与康复,2001,8(1):86-87.
[7]卢丽芬.综合疗法治疗特复性面神经麻痹[J].中国康复,2007,22(2):123.
[8]张群,张林,彭先兵,等.手术结合微波治疗鼻腔血管瘤[J].中国康复,2007,22(2):132.
[9]段艳芹,李惠萍.医护人员对乳癌术后上肢淋巴水肿的认知状况调查[J].护士进修杂志,2011,26(2):164-166.
[10]娄秀娟,娄国喜,杨良权.艾灸治疗用于乳腺癌术后患肢淋巴水肿的疗效观察[J].世界中医药,2013,8(3):327-328.