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目的:探讨多重护理干预措施对改善乳腺癌术后上肢淋巴回流障碍的作用。方法:对270例乳腺癌术后患者进行护理干预,分为三组:常规组(常规护理加心理护理),双重组(常规组的基础上增加徒手淋巴回流按摩手法),多重组(常规组加双重组的基础上加气压泵治疗加热疗加软枕托起患侧上肢),观察术后3个月、6个月、9个月、12个月患肢水肿及功能康复的效果。结果:三组乳腺癌患者术后上肢水肿、功能康复比较,P<0.05。多重组患者上肢水肿的发生明显低于其他两组,双重组低于常规组,而上肢上举、外展、旋转功能改善多重组明显好于常规组及双重组。结论:(3~12)个月多重护理干预组明显降低了上肢淋巴水肿的发生率,提高了上肢功能康复的速度及程度,减轻了躯体、精神、心理上的痛苦,提高了疗效及生活质量。
Objective: To explore the effect of multiple nursing interventions on the improvement of postoperative lymphatic drainage disorder in patients with breast cancer. Methods: A total of 270 patients with postoperative breast cancer were divided into three groups: conventional group (conventional nursing plus psychological care), double group Plus double group based on the pressurized pump treatment of heating plus soft pillow care ipsilateral upper limbs), observed after 3 months, 6 months, 9 months, 12 months limb edema and functional rehabilitation effect. Results: The postoperative upper limb edema and functional rehabilitation of three groups of breast cancer patients were compared (P <0.05). The incidence of upper extremity edema in multiple groups was significantly lower than that in the other two groups, while the double groups were lower than those in the conventional group. The upper extremities lifting, abduction and revolving function improved multiple groups significantly better than the conventional group and double groups. CONCLUSION: The multiple nursing intervention group (3-12 months) significantly reduced the incidence of upper extremity lymphedema, increased the speed and degree of upper limb functional rehabilitation, relieved the physical, mental and psychological pains, and improved the curative effect and quality of life .