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目的 观察补阳还伍汤加味治疗乳腺癌术后上肢肿胀的疗效。方法 治疗组 32例应用补阳还伍汤加味内服、外洗 ,并配合患肢功能锻炼 ,1月后与单纯功能锻炼的对照组 2 2例比较。结果 治疗组总有效率 93.7% ,对照组 59.1 % ,2组比较有非常显著性差异 ( P <0 .0 1 ) ;按 Karnof-sky计分制统计 ,治疗后治疗组和对照组生活质量评分≥ 70分分别为 2 4、8例 ,≤ 60分分别为 8、1 4例 ,2组分别比较均有非常显著差异 ( P均 <0 .0 1 )。结论 补阳还伍汤加味能明显消退乳腺癌术后上肢肿胀 ,提高患者生活质量。
Objective To observe the efficacy of Bu Yang Hua Wu Decoction in the treatment of upper extremity swelling after breast cancer surgery. Methods Thirty-two patients in the treatment group were treated with Buyang Huanwu Decoction, orally and externally, and were trained with functional limbs. After one month, the treatment group was compared with the control group with only functional exercise. Results The total effective rate was 93.7% in the treatment group and 59.1 % in the control group. There was a significant difference between the two groups (P < 0.01). According to Karnof-sky scoring system, the quality of life scores of the treated and control groups after treatment were evaluated. The ≥ 70 points were 24 and 8 cases respectively, and the ≤ 60 points were 8 and 14 cases respectively. There was a very significant difference between the two groups (P < 0.01). Conclusion Bu Yang Huan Wu Decoction can obviously relive the swelling of upper extremity after breast cancer surgery and improve the quality of life of patients.