Huo Hongbo, Wang Qian, Zhou Shaoguang, Cui Lina
Division II of Breast Medicine, Harbin Medical University Cancer Hospital, Harbin, China.
Division II of Gastroenterology, Harbin Medical University Cancer Hospital, Harbin, China.
Ann Palliat Med. 2021 Apr;10(4):4486-4492. doi: 10.21037/apm-21-497.
This study sought to explore the effects of personalized rehabilitation exercises in the postoperative rehabilitation of breast cancer patients.
A total of 93 breast cancer patients admitted to our hospital from January 2018 to December 2019 were taken as research subjects for this study. Based on order of admission, patients were assigned to a control group (46 cases) or an observation group (47 cases). All patients underwent a modified radical mastectomy for breast cancer. Patients in the control group received routine nursing and rehabilitation training after their operations, while those in the observation group received personalized rehabilitation exercises (for a period of 6 months) in addition to the rehabilitation training received by the control group. The immune function indicators, the incidence of upper limb-related complications, the movement of the shoulder joint, upper limb function, ability of daily living (ADL), and quality of life (QoL) was then compared between the two groups before and after the intervention.
Patients in the observation group had lower incidences of upper limb edema and subcutaneous fluid than those in the control group (P<0.05). Further, following the intervention, compared to patients in the control group, patients in the observation group had higher CD4+, CD4+/CD8+ levels, lower CD8+ levels, a greater range of motion in their shoulder joints (P<0.05), lower upper limb function impairment scores [based on the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire] (P<0.05), higher ADL scores (P<0.05), and higher QoL scores (P<0.05).
Personalized rehabilitation exercises reduced the postoperative upper limb complications experienced by breast cancer patients, improved their immune function, shoulder joint mobility and upper limb function, and improved their ADL and QoL.
本研究旨在探讨个性化康复锻炼对乳腺癌患者术后康复的影响。
选取2018年1月至2019年12月我院收治的93例乳腺癌患者作为本研究的研究对象。按照入院顺序，将患者分为对照组（46例）和观察组（47例）。所有患者均接受乳腺癌改良根治术。对照组患者术后接受常规护理和康复训练，而观察组患者除接受对照组的康复训练外，还接受个性化康复锻炼（为期6个月）。然后比较两组患者干预前后的免疫功能指标、上肢相关并发症发生率、肩关节活动度、上肢功能、日常生活活动能力（ADL）和生活质量（QoL）。
观察组患者上肢水肿和皮下积液的发生率低于对照组（P<0.05）。此外，干预后，与对照组患者相比，观察组患者的CD4+、CD4+/CD8+水平更高，CD8+水平更低，肩关节活动范围更大（P<0.05），上肢功能障碍评分[基于手臂、肩部和手部功能障碍（DASH）问卷]更低（P<0.05），ADL评分更高（P<0.05），QoL评分更高（P<0.05）。
个性化康复锻炼减少了乳腺癌患者术后的上肢并发症，改善了他们的免疫功能、肩关节活动度和上肢功能，并提高了他们的ADL和QoL。
