穴位按摩联合艾灸治疗乳腺癌术后上肢淋巴水肿临床研究
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R551.2

基金项目:


Clinical Study on Acupoints Massage Combined with Moxibustion for Upper Limb Lymphedema After Surgery of Breast Cancer
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察穴位按摩联合艾灸治疗乳腺癌术后上肢淋巴水肿的临床疗效。方法:采用随机数字表 法将80例乳腺癌术后上肢淋巴水肿患者分为对照组、治疗组各40例。2组均给予地奥司明片治疗,对照组加 用按摩与上肢功能锻炼治疗,治疗组加用穴位按摩联合艾灸治疗,2组连续治疗8周。比较2组临床疗效及治 疗前后腺癌淋巴水肿症状体验指数(BCLE-SEI)、淋巴水肿纤维化分级、视觉模拟评分法(VAS) 肿胀、VAS 疼痛、乳腺癌患者生命质量测定量表(FACT-B) 评分及上肢活动度。结果:治疗后,治疗组总有效率 95.00%,高于对照组80.00%(P<0.05)。治疗后,2组中医证候积分、BCLE-SEI评分、淋巴水肿纤维化分级 评分、VAS肿胀评分、VAS疼痛评分、FACT-B维度(生理、社会/家庭、情感、功能及其他状况) 评分均较治 疗前降低(P<0.05),且治疗组治疗后上述指标均低于对照组(P<0.05)。治疗后,2组上肢上举、内旋、外 旋、水平屈曲及水平伸展活动度均较治疗前增大(P<0.05),且治疗组治疗后上述5 项活动度高于对照 组(P<0.05)。结论:穴位按摩联合艾灸治疗乳腺癌术后上肢淋巴水肿疗效确切,能够减轻患者患肢水肿和疼 痛程度,促进上肢功能恢复,提高生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of acupoints massage combined with moxibustion for upper limb lymphedema after surgery of breast cancer. Methods:A total of 80 patients with upper limb lymphedema after surgery of breast cancer were divided into the control group and the treatment group according to the random number table method,with 40 cases in each group. The two groups were treated with Diosmin Tablets, the control group was additionally given massage and exercises of upper limbs for treatment, and the treatment group was additionally treated with acupoints massage combined with moxibustion. The two groups were treated for eight weeks. The clinical effects, and the scores of Breast Cancer Lymphedema Symptom Experience Index (BCLE-SEI), fibrosis grading of lymphedema, Visual Analogue Scale (VAS) of swelling and pain, and Functional Assessment of Cancer Therapy-Breast (FACT-B) and the range of motion of upper limbs were compared before and after treatment between the two groups. Results:After treatment,the total effective rate was 95.00% in the treatment group,higher than that of 80.00% in the control group (P<0.05). After treatment,scores of BCLE-SEI,fibrosis grading of lymphedema,VAS of swelling and pain and FACT-B dimensions (physiology,society/family,emotion, function and others) in the two groups were decreased when compared with those before treatment (P< 0.05). After treatment,the range of motion of elevation,inward and outward rotation,and horizontal flex and extension of upper limb in the two groups were respectively increased (P<0.05), and the range of rotation of above five items in the treatment group was higher than that in the control group (P<0.05). Conclusion:The therapy of acupoints massage combined with moxibustion has a definite curative effect on upper limb lymphedema after surgery of breast cancer,which can mitigate the edema of affected limbs and the pain degree,promote the recovery of function of upper limbs and improve the quality of life.

    参考文献
    相似文献
    引证文献
引用本文

李鹏,刘起鹏,张婷,郭晓,邓淼.穴位按摩联合艾灸治疗乳腺癌术后上肢淋巴水肿临床研究[J].新中医,2024,56(11):166-170

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2024-06-17
  • 出版日期:
文章二维码