[1]徐笑飞,黄露艳,沈君敏,等.身痛逐瘀汤加味联合皮硝外敷对乳腺癌术后上肢淋巴水肿的影响[J].西部中医药,2025,38(02):133-135.[doi:10.12174/j.issn.2096-9600.2025.02.29]
　XU Xiaofei,HUANG Luyan,SHEN Junmin,et al.Influence of Modified Shentong Zhuyu Tang and Natrii Sulfas for External Application on Upper Limb Lymphedema after Breast Cancer Surgery[J].Western Journal of Traditional Chinese Medicine,2025,38(02):133-135.[doi:10.12174/j.issn.2096-9600.2025.02.29]
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身痛逐瘀汤加味联合皮硝外敷对乳腺癌术后上肢淋巴水肿的影响()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年02期
页码:
133-135
栏目:
临床研究
出版日期:
2025-02-15

文章信息/Info

Title:
Influence of Modified Shentong Zhuyu Tang and Natrii Sulfas for External Application on Upper Limb Lymphedema after Breast Cancer Surgery
作者:
徐笑飞, 黄露艳, 沈君敏, 杨毅沁
上海市闵行区中心医院，上海 201100
Author(s):
XU Xiaofei, HUANG Luyan, SHEN Junmin, YANG Yiqin
Minhang District Central Hospital, Shanghai 201100, China
关键词:
乳腺癌; 淋巴水肿; 身痛逐瘀汤; 皮硝外敷
Keywords:
breast cancer; lymphedema; external use of natrii sulfas
分类号:
R273
DOI:
10.12174/j.issn.2096-9600.2025.02.29
文献标志码:
B
摘要:
目的观察身痛逐瘀汤加味联合皮硝外敷治疗乳腺癌术后上肢淋巴水肿的疗效。 方法将乳腺癌术后上肢淋巴水肿患者66例按随机数字表法分为对照组和观察组各33例。对照组予常规干预措施，观察组在对照组基础上予身痛逐瘀汤加味联合皮硝外敷治疗；连续治疗4周后比较两组患者上肢水肿情况、肩关节活动度（外展、内收、后伸、前屈）及临床疗效。 结果治疗后两组患者腕横纹上10 cm周径及肘横纹上10 cm周径均下降，观察组下降更明显（P＜0.01）；两组患者肩关节活动度均提高，观察组提高更明显（P＜0.01）；观察组总有效率［84.85%（28/33）］高于对照组［57.58%（19/33）］（P＜0.05）。 结论身痛逐瘀汤加味联合皮硝外敷治疗乳腺癌术后上肢淋巴水肿疗效优于常规干预措施，有助于改善水肿，增加肩关节活动度。
Abstract:
ObjectiveTo survey clinical effects of modified Shentong Zhuyu Tang and external use of natrii sulfas in the treatment of upper limb lymphedema after breast cancer surgery. MethodsA total of 66 patients were separated into the control group and the observation group with 33 cases in each group according to random number table method. The control group accepted conventional intervention measures, and the observation group orally took modified Shentong Zhuyu Tang and external use of natrii sulfas on the foundation of the therapy the control group received. After four consecutive weeks of the treatment, to compare upper limb lymphedema, shoulder range of motion (abduction, adduction, extension and antexion) and clinical effects between the two groups. ResultsAfter the treatment, cross-section diameter at 10 cm above rasceta and the circumference at 10 cm above cubital crease were reduced in the two groups, and the decrease of the observation group was more noticeable (P<0.01); shoulder range of motion of the two groups were increased, and the increase of the observa-tion group was more evident (P<0.01); total effective rate of the observation group was [84.85%(28/33)], higher than [57.58%(19/33)] of the control group (P<0.05). ConclusionModified Shentong Zhuyu Tang combined with external use of natrii sulfas in the treatment of upper limb lymphedema after breast cancer surgery is better than that of only conventional intervention measures, which could improve edema and increase shoulder range of motion.

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备注/Memo

备注/Memo:
徐笑飞（1987—），女，硕士学位，主治医师。研究方向：乳腺等疾病的中医诊治。上海市中西医结合学会社区医学与健康管理研究项目（2018SQ008）。
更新日期/Last Update: 2025-02-15