目的:初步評價健身鋼球鍛煉法治療乳腺癌根治性手術后上肢水腫的療效。方法:收集乳腺癌改良根治術后并發上肢水腫患者60例,按照就診順序隨機配對分為實驗組和對照組,每組各30例。實驗組術后采用健身鋼球鍛煉患側上肢的方法;對照組采用抬高患肢、向心性按摩和熱敷的傳統方法。結果:兩組患側上肢各部位術后1天均存在不同程度水腫(P lt;0.05),實驗組隨著時間的推移,其水腫程度不斷減輕(P lt;0.05),而對照組則在術后1周內變化不明顯(P gt;0.05),并且其各部位腫脹率均高于實驗組,二者差異均有統計學意義(P lt;0.05)。結論:健身鋼球鍛煉法對乳腺癌根治性手術后上肢水腫具有一定的短期療效。
Citation：
CHEN Bo,KONG Feiteng,CHEN Jie,et al. Upper Limb Edema in the Shortterm Clinical Observation of Fitness Ball Exercise Treatment of Breast Cancer after Radical Surgery. West China Medical Journal, 2009, 24(3): 584-586. doi:
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- 1. 唐武軍,王笑民.乳腺癌術后上肢水腫診療現狀分析[J].中國實驗方劑學雜志,2007,3(4):68-71..
- 2. 喬生才,張濤.乳腺癌術后同側上肢腫脹的測量與相關因素分析[J].中華腫瘤雜志,2001,23(3):262..
- 3. PETREK JA,Heelan MCIncidence of breast carcinomarelated lymphedema[J].Cancer,1998,83(12 Suppl American):2776-2781..
- 4. 龔蔚.四妙勇安湯加減治療乳腺癌術后上肢水腫驗案舉隅[J].南京中醫藥大學學報,2006,22(4):257-258..
- 5. 鄭武,鄒榮生.血府逐瘀湯加減結合功能鍛煉治療乳腺癌術后上肢水腫30例[J].福建中醫藥,2004,35(3):30..
- 6. 金軍,張董曉.益氣活血利水法治療乳腺癌術后上肢水腫臨床分析[J].中醫藥學刊,2005,23(8):1529-1530..
