[1]吴芳,李仁,刘素珍,等.中医循经消肿“七步法”联合助眠支架治疗乳腺癌术后继发上肢淋巴水肿疗效观察[J].西部中医药,2023,36(01):96-100.[doi:10.12174/j.issn.2096-9600.2023.01.22]
　WU Fang,LI Ren,LIU Suzhen,et al.Clinical Observation on "Seven-step Method" of Reducing Swelling along the Meridians Combined with Support Aid Stand in the Treatment of Secondary Upper Limb Lymphedema after Breast Cancer Surgery[J].Western Journal of Traditional Chinese Medicine,2023,36(01):96-100.[doi:10.12174/j.issn.2096-9600.2023.01.22]
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中医循经消肿“七步法”联合助眠支架治疗乳腺癌术后继发上肢淋巴水肿疗效观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年01期
页码:
96-100
栏目:
出版日期:
2023-01-15

文章信息/Info

Title:
Clinical Observation on "Seven-step Method" of Reducing Swelling along the Meridians Combined with Support Aid Stand in the Treatment of Secondary Upper Limb Lymphedema after Breast Cancer Surgery
作者:
吴芳, 李仁, 刘素珍, 刘丽芳
湖南中医药大学第一附属医院，湖南 长沙 410008
Author(s):
WU Fang, LI Ren, LIU Suzhen, LIU Lifang
The First Hospital of Hunan University of Chinese Medicine, Changsha 410008, China
关键词:
乳腺癌; 上肢淋巴水肿; 继发; 中医循经消肿“七步法”; 助眠支架; 临床观察
Keywords:
breast cancer; upper limb lymphedema;  secondary; TCM "seven-step method" of reducing swelling along the meridians; support aid stand; clinical observation
分类号:
R273
DOI:
10.12174/j.issn.2096-9600.2023.01.22
文献标志码:
B
摘要:
目的观察中医循经消肿“七步法”联合助眠支架治疗乳腺癌术后继发上肢淋巴水肿的临床疗效。 方法将乳腺癌术后继发上肢淋巴水肿患者123例随机分为试验组67例与对照组66例。对照组予常规方案治疗，试验组在对照组基础上联合中医循经消肿“七步法”及助眠支架治疗，2周为1个疗程，连续治疗3个疗程。观察两组患者双上肢周径变化、上肢功能量表（DASH）评分、疼痛口述分级（VRS）评分、生存质量量表（QOL-BREF）评分及满意度。 结果治疗第2、4、6周两组患者双侧上肢周径差下降（P＜0.01），试验组下降更明显（P＜0.05）；治疗后两组患者上肢功能（DASH）各维度评分均下降（P＜0.05），试验组下降更明显（P<0.05）；试验组患者VRS评分下降程度高于对照组（P＜0.01）；治疗后两组患者生存质量（QOL-BREF）各维度评分均上升（P＜0.05），试验组上升更明显（P＜0.05）；试验组患者对治疗的满意度优于对照组患者（P＜0.01）。 结论中医循经消肿“七步法”联合助眠支架能够提升乳腺癌术后继发上肢淋巴水肿患者生存质量及对治疗的满意度，促进上肢功能恢复。
Abstract:
ObjectiveTo survey therapeutic effects of "seven-step method" of reducing swelling along the meridians combined with support aid stand in the treatment of secondary upper limb lymphedema after breast cancer surgery. MethodsAll 123 patients were randomized into 67 cases of the experiment group and 66 cases of the control group, the control group was treated by general treatment plan, and the experiment group by "seven-step method" of reducing swelling along the meridians combined with support aid stand based on general treatment plan, two weaks were one course, and both groups were intervened for three courses consecutively. To observe the changes of circumferences of bilateral limbs, DASH scores, VRS scores, QOL-BREF scores and degree of satisfaction between both groups. ResultsThe circumference difference of bilateral limbs of the patients in both groups decreased at the second, forth and sixth week of the treatment (P<0.01), the decrease of the experiment group was more remarkable (P<0.05); after the treatment, the dimensional scores of DASH in both groups reduced in both groups (P<0.05), the decrease of the experiment group was more remarkable (P<0.05); the decrease of VRS scores in the experiment group was higher than that of the control group (P<0.01); after the treatment, QOL-BREF scores of both groups increased in both groups (P<0.05), the increase of the experiment group was more noticeable (P<0.05); the patients' degree of satisfaction in the experiment group was superior to that of the control group (P<0.01). ConclusionTCM "seven-step method" of reducing swelling along the meridians combined with support aid stand could raise the patients' quality of life and their degree of satisfaction to the treatment, and boost the rehabilitation of upper limb function.

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备注/Memo

备注/Memo:
吴芳（1974—），女，在职研究生，主管护师。研究方向：乳腺疾病的综合治疗及护理。国家自然科学基金（81473680）；湖南省卫生厅科研自筹基金（HKJ18ZC42）；湖南中医药大学重大疾病防治及转化开放基金（ZDJJ201807）。
更新日期/Last Update: 2023-01-15