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运动对乳腺癌手术患者康复的影响：一项随机对照试验的系统评价和荟萃分析。

Effect of exercise on rehabilitation of breast cancer surgery patients: A systematic review and meta-analysis of randomized controlled trials.

机构信息

Department of Clinical Nursing, School of Nursing, Air Force Medical University, Xi'an, China.

952th Hospital of the Chinese People's Liberation Army, Golmud, China.

出版信息

Nurs Open. 2023 Apr;10(4):2030-2043. doi: 10.1002/nop2.1518. Epub 2022 Nov 30.

DOI:10.1002/nop2.1518
PMID:36451034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10006647/
Abstract

AIM: To determine the effective exercise methods for different complications of breast cancer patients after surgery. DESIGN: Systematic review and meta-analysis. METHODS: A comprehensive electronic search was carried out with no time limit until May 2020. Studies must have been randomized controlled trials of patients after breast cancer surgery, without limit to the way of exercise. Literature quality was evaluated by the modified Jadad scale. The meta-analysis was conducted with CMA2.0 software. RESULTS: Aerobic exercise reduced the intensity of the pain (MD = -1.043), improved shoulder flexion (MD = 3.398) and internal rotation range (MD = 3.868), lessened upper limb dysfunction (MD = -5.231) and improved muscle strength during flexion (MD = 1.076) and abduction (MD = 0.991). Shoulder elbow movement improved the range of shoulder external rotation (MD = 2.691) and reduced the incidence of arm lymphedema (RR = 0.343). Anti-resistance exercise also lessened upper limb dysfunction (MD = - 4.094).

摘要

目的：确定乳腺癌患者术后不同并发症的有效运动方法。 设计：系统评价和荟萃分析。 方法：全面检索电子文献，检索时限截至 2020 年 5 月，不限乳腺癌术后患者的运动方式，均为随机对照试验。文献质量评价采用改良 Jadad 量表。采用 CMA2.0 软件进行荟萃分析。 结果：有氧运动降低疼痛强度（MD=-1.043），改善肩前屈（MD=3.398）和内旋范围（MD=3.868），减少上肢功能障碍（MD=-5.231），改善屈伸时的肌力（MD=1.076）和外展（MD=0.991）。肩肘运动改善肩外旋范围（MD=2.691），减少手臂淋巴水肿的发生率（RR=0.343）。抗阻运动也减少上肢功能障碍（MD=-4.094）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/9fc144abf063/NOP2-10-2030-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/cf4e8f845925/NOP2-10-2030-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/a491d3141bb0/NOP2-10-2030-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/54deb66e4d4b/NOP2-10-2030-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/14bddb7973aa/NOP2-10-2030-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/54d35aa0a5b1/NOP2-10-2030-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/5057782af317/NOP2-10-2030-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/84055b51c2a4/NOP2-10-2030-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/5add5faf40c9/NOP2-10-2030-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/9fc144abf063/NOP2-10-2030-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/cf4e8f845925/NOP2-10-2030-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/a491d3141bb0/NOP2-10-2030-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/54deb66e4d4b/NOP2-10-2030-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/14bddb7973aa/NOP2-10-2030-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/54d35aa0a5b1/NOP2-10-2030-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/5057782af317/NOP2-10-2030-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/84055b51c2a4/NOP2-10-2030-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/5add5faf40c9/NOP2-10-2030-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e1/10006647/9fc144abf063/NOP2-10-2030-g006.jpg

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Effect of exercise on rehabilitation of breast cancer surgery patients: A systematic review and meta-analysis of randomized controlled trials.

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引用本文的文献

[1]
Exercise Interventions in Breast Cancer: Molecular Mechanisms, Physical Benefits, and Practical Recommendations.

Medicina (Kaunas). 2025-6-27

[2]
Comparative analysis of extraperitoneal versus transabdominal cesarean sections: a meta-analysis of randomized controlled trials and systematic review.

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[3]
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J Pers Med. 2025-3-14

[4]
Effectiveness of Kinesio Taping for Lymphedema in the Post-Mastectomy Patient: A Systematic Review of Randomized Controlled Trials.

J Clin Med. 2025-3-3

[5]
Effectiveness of complete decongestive therapy for upper extremity breast cancer-related lymphedema: a review of systematic reviews.

Med Oncol. 2024-10-23

[6]
Effect of physical exercise on postoperative shoulder mobility and upper limb function in patients with breast cancer: a systematic review and meta-analysis.

Gland Surg. 2024-8-31

[7]
Short-term effects of a new resistance exercise approach on physical function during chemotherapy after radical breast cancer surgery: a randomized controlled trial.

BMC Womens Health. 2024-3-5

[8]
The Efficacy of Muscle Energy and Mulligan Mobilization Techniques for the Upper Extremities and Posture after Breast Cancer Surgery with Axillary Dissection: A Randomized Controlled Trial.

J Clin Med. 2024-2-8

本文引用的文献

[1]
SURGICAL TREATMENT FOR BREAST CANCER AND AXILLARY METASTASES: HISTORICAL PERSPECTIVE.

Acta Med Hist Adriat. 2021-6-17

[2]
Axillary surgery and complication rates after mastectomy and reconstruction for breast cancer: an analysis of the NSQIP database.

Breast Cancer Res Treat. 2022-4

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Biopsychosocial risk factors for pain and pain-related disability 1 year after surgery for breast cancer.

Support Care Cancer. 2022-5

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Health-related quality of life in patients with breast cancer: A systematic review and meta-analysis.

Breast Dis. 2022

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Radiotherapy and radiosensitization in breast cancer: Molecular targets and clinical applications.

Crit Rev Oncol Hematol. 2022-1

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Cardiovascular status of breast cancer patients before and after receiving anthracycline chemotherapy regimen.

Nurs Open. 2022-1

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Breast cancer treatment-related arm lymphoedema and morbidity: A 6-year experience in an Australian tertiary breast centre.

Asia Pac J Clin Oncol. 2022-2

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Ann Ib Postgrad Med. 2019-12

[10]
The recovery of reaching movement in breast cancer survivors: two different rehabilitative protocols in comparison.

Eur J Phys Rehabil Med. 2021-2

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