关键词: 乳腺癌, 上肢淋巴水肿, 运动康复抗阻训练

Abstract:

Objective To analyze the application value of resistance training of exercise rehabilitation in patients with upper limb lymphedema after breast cancer surgery. Method From January 2020 to January 2024, 80 patients with upper limb lymphedema after breast cancer surgery in Rugao Humanity Hospital were selected, all of whom were female patients. They were divided into control group (routine training, n=40) and observation group (resistance training based on sports rehabilitation, n=40) according to different treatment methods. The treatment effect, shoulder joint activity, quality of life, upper limb lymph flow, bilateral upper arm circumference, and bilateral upper limb volume difference of the two groups were statistically analyzed. Result Compared with the control group, the total effective rate of the observation group was higher, and the difference was significant (P ＜ 0.05). Before intervention, there was no significant difference in upper limb lymphedema and quality of life between the two groups of patients (P ＞ 0.05). After intervention, compared with the control group, the observation group had higher upper limb lymphatic flow, smaller bilateral upper arm circumference and bilateral upper limb volume, and higher quality of life scores than the control group, with significant differences (P ＜ 0.001). Compared to the control group, the shoulder joint range of motion in the observation group was significantly higher than that in the control group (P ＜ 0.01). Conclusion The exercise rehabilitation resistance training for patients with upper limb lymphedema after breast cancer surgery can effectively improve the upper limb lymph fl ow, bilateral upper arm circumference, bilateral upper limb volume difference and shoulder joint mobility, and has a positive role in improving the quality of life and clinical efficacy.

Key words: Breast cancer, Upper limb lymphedema, Resistance training for sports rehabilitation