乳腺癌根治术后患者的康复护理及患肢功能恢复研究

Study on functional recovery and rehabilitation nursing in patients with breast cancer after radical operation

  • 摘要:
      目的  研究康复护理措施对乳腺癌根治术后患肢功能恢复的影响。
      方法  选择120例乳腺癌根治术后患者,随机分为对照组和观察组各60例。对照组术后给予常规护理,观察组术后给予康复护理。比较2组护理前和护理1个月后的患肢功能恢复情况(患肢内旋、外旋、前屈、外展、后伸及内收角度)、炎性因子肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)和白细胞介素-10(IL-10)及并发症情况。
      结果  护理前, 2组患肢内旋、外旋、前屈、外展、后伸及内收的角度比较差异无统计学意义(P>0.05); 护理1个月后, 2组患者的患肢活动角度均增大,且观察组大于对照组(P < 0.05)。护理前, 2组患者的TNF-α、IL-6、IL-10水平相比,差异无统计学意义(P>0.05); 护理1个月后, 2组患者的TNF-α、IL-6、IL-10水平均显著降低,且观察组低于对照组(P < 0.05)。观察组皮瓣坏死、皮下积液、上肢水肿的发生率均低于对照组(P < 0.05)。
      结论  康复护理措施能够促进乳腺癌根治术后患肢功能的恢复,降低炎症因子水平,减少术后并发症。

     

    Abstract:
      Objective  To study the effect of rehabilitation nursing measures on the functional recovery of the affected limb after radical mastectomy.
      Methods  A total of 120 patients who received radical mastectomy in our hospital were randomly divided into control group and observation group. Routine nursing was given to patients in the control group(n=60) and rehabilitation nursing was given to those in the observation group(n=60). The functional recovery of affected limbs(pronation, external rotation, forward bending, external extension and back extension and adduction angle), inflammatory factors (tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) and interleukin-10 (IL-10) and complications of the two groups were compared before nursing and after 1 month of nursing.
      Results  Before nursing, there were no significant differences in the angles of internal rotation, external rotation, forward flexion, abduction, back extension and adduction angle between the two groups (P>0.05). After one month of nursing, the movement angles of the two groups was significantly increased, and the observation group was larger in movement angles than that in the control group (P < 0.05). Before nursing, there were no significant differences in the levels of TNF-α, IL-6 and IL-10 between the two groups (P>0.05), the levels of TNF-α, IL-6 and IL-10 in the two groups were significantly lower after treatment, and the observation group was lower than that in the control group (P < 0.05). The incidence of skin flap necrosis, subcutaneous effusion and upper extremity edema in the observation group were significantly lower than that in the control group (P < 0.05).
      Conclusion  Rehabilitation nursing measures can promote the recovery of limb function after radical mastectomy, significantly reduce the level of inflammatory factors, and reduce postoperative complications.

     

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