临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (4): 11-.

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PhysioTouch 负压淋巴回流促进系统与徒手淋巴引流技术结合综合康复应用于乳腺癌术后上肢淋巴水肿患者的疗效比较

  

  1. 恩施市中心医院 甲乳外科,湖北 恩施 445000
  • 出版日期:2022-10-01 发布日期:2023-01-13

Comparison of PhysioTouch negative pressure lymphatic reflux promotion system and bare handed lymphatic drainage technology combined with comprehensive rehabilitation in patients with upper limb lymphedema after breast cancer surgery

  1. Nail and Breast Surgery Department of Enshi Central Hospital, Hubei Enshi 445000, China
  • Online:2022-10-01 Published:2023-01-13

摘要:

目的 探讨PhysioTouch负压淋巴回流促进系统与徒手淋巴引流技术结合综合康复应用于乳腺癌术后上肢淋巴水肿患者的效果。方法 选取2020 年5 月至2021 年6 月恩施市中心医院收治的乳腺癌术后上肢淋巴水肿患者132 例,按照随机数字表法分为徒手组(徒手淋巴引流技术)和负压组(PhysioTouch负压淋巴回流促进系统),各66 例,两组均予以结合综合康复治疗。观察两组临床疗效、肩关节功能。结果 治疗后,负压组总有效率93.94% 高于徒手组81.82%,肩关节功能、肌肉力量、活动能力、日常行动能力得分均高于徒手组,差异均有显著性(P < 0.05)。结论 PhysioTouch 负压淋巴回流促进系统与徒手淋巴引流技术结合综合康复应用于乳腺癌术后上肢淋巴水肿患者均能改善肩关节功能及提高临床疗效,PhysioTouch 负压淋巴回流促进系统在改善肩关节疼痛、肌肉力量、活动能力、日常行动能力方面具有明显优势。

关键词: 乳腺癌, 上肢淋巴水肿, 负压淋巴回流促进系统, 徒手淋巴引流技术, 肩关节功能,

Abstract:

Objective To investigate the effect of PhysioTouch negative pressure lymphatic return promotion system combined with manual lymphatic drainage technology combined with comprehensive rehabilitation in patients with upper limb lymphedema after breast cancer surgery. Method 132 patients with upper limb lymphedema after breast cancer surgery who were admitted to Enshi Central Hospital from May 2020 to June 2021 were selected. According to the random number table, they were divided into a bare hand group (bare hand lymphatic drainage technology) and a negative pressure group (PhysioTouch negative pressure lymphatic reflux

promotion system), 66 cases in each group. Both groups were given comprehensive rehabilitation treatment. The clinical effect and shoulder joint function of the two groups were observed. Result After treatment, the total effective rate of the negative pressure group was 93.94% higher than that of the unarmed group 81.82%, and the scores of shoulder joint function, muscle strength, activity ability and daily activity ability were higher than those of the unarmed group, with significant differences (P < 0.05). Conclusion PhysioTouch negative pressure lymphatic drainage promotion system and bare handed lymphatic drainage technology combined with comprehensive rehabilitation can improve shoulder joint function and clinical efficacy in patients with upper limb lymphedema after breast cancer surgery. PhysioTouch negative pressure lymphatic drainage promotion system has obvious advantages in improving shoulder joint pain, muscle strength, mobility, and daily action ability.

Key words: Breast cancer, Upper limb lymphedema, Negative pressure lymphatic drainage system, Manual lymphatic drainage technique, Shoulder joint function, PhysioTouch