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目的:初步评价健身钢球锻炼法治疗乳腺癌根治性手术后上肢水肿的疗效。方法:收集乳腺癌改良根治术后并发上肢水肿患者60例,按照就诊顺序随机配对分为实验组和对照组,每组各30例。实验组术后采用健身钢球锻炼患侧上肢的方法;对照组采用抬高患肢、向心性按摩和热敷的传统方法。结果:两组患侧上肢各部位术后1天均存在不同程度水肿(P<0.05),实验组随着时间的推移,其水肿程度不断减轻(P<0.05),而对照组则在术后1周内变化不明显(P>0.05),并且其各部位肿胀率均高于实验组,二者差异均有统计学意义(P<0.05)。结论:健身钢球锻炼法对乳腺癌根治性手术后上肢水肿具有一定的短期疗效。
Objective: To evaluate the curative effect of fitness ball exercise on upper extremity edema after radical surgery of breast cancer. Methods: Sixty patients with upper extremity edema after radical mastectomy of breast cancer were collected and randomly divided into experimental group and control group according to the order of treatment. Each group had 30 cases. In the experimental group, the fitness ball was used to exercise the affected upper limbs after operation. The control group was given the traditional method of elevating the limbs, congenital massage and heat application. Results: Edema was found in all the affected upper limbs 1 day postoperatively (P <0.05). The edema of the experimental group decreased gradually with the passage of time (P <0.05) The changes in one week were not significant (P> 0.05), and the swelling rate of each part was higher than the experimental group, the difference was statistically significant (P <0.05). Conclusion: The fitness ball exercise method has a certain short-term curative effect on upper extremity edema after radical surgery of breast cancer.