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目的:观察乳腺癌术后肩关节锻炼与皮下积液关系,寻求最佳的锻炼时间,改善患者的生活质量。方法:选取本院2012年9月至2014年6月接诊的乳腺癌术后发生皮下积液患者192例,将患者按照开始手功能锻炼指导的时间随机分为4组,比较4组患者关节恢复效果。结果:A组患者存在抬高上肢无力的现象;B组患者抬高上肢较为自如;C组患者抬高上肢较为自如;D组患者抬高上肢有腋下紧绷感,进行恰当一段时间的锻炼后,可逐渐解除腋下紧绷的感觉,并能恢复上肢功能。结论:肩关节活动时间的早晚与皮下积液关系不大,锻炼的时机以7~10 d为佳,但也需根据个体差异而有所区别。
OBJECTIVE: To observe the relationship between postoperative shoulder joint exercises and subcutaneous effusion in order to find the best exercise time and improve the quality of life of patients. Methods: A total of 192 patients with subcutaneous effusion undergoing breast cancer postoperatively from September 2012 to June 2014 in our hospital were selected and randomly divided into 4 groups according to the time of starting hand functional exercise instruction. The patients in 4 groups were compared with each other Recovery effect. Results: Patients in group A had elevated upper limb weakness; patients in group B were more likely to raise their upper limbs; patients in group C were more likely to lift their upper limbs; patients in group D had underarm tightness in the upper limbs and exercised for a suitable period of time After the gradual lifting of the underarm tight feeling, and can restore upper limb function. CONCLUSION: The time of shoulder mobility has little to do with subcutaneous fluid, and the timing of exercise is preferably 7-10 days, but it also needs to be differentiated according to individual differences.