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护理学报 ›› 2020, Vol. 27 ›› Issue (2): 63-66.doi: 10.16460/j.issn1008-9969.2020.02.063

• 临床护理 • 上一篇    下一篇

80例乳腺癌女性患者术后1年患肢并发症的纵向研究及对策

张惠婷, 刘琳妃, 罗庆华, 张丽娟   

  1. 中山大学肿瘤防治中心,广东 广州 510060
  • 收稿日期:2019-08-12 发布日期:2020-07-21
  • 通讯作者: 张丽娟（1979-），女，广东大埔人，本科学历，副主任护师。E-mail: zhanglij@sysucc.org.cn
  • 作者简介:张惠婷（1989-），女，广东博罗人，硕士，主管护师，个案管理师。
  • 基金资助:
    2018年广东省护理学会护理科研课题（gdhlxueh2019zx 029）；2018年广东省护理学会护理科研课题（gdhlxueh2019zx 032）；2019年广州泰和医学人文研究教育基金（201905）

Complications of Affected Extremities of 80 Breast Cancer Patients One Year after Operation and Its Treatment: A Longitudinal Study

ZHANG Hui-ting, LIU Lin-fei, LUO Qing-hua, ZHANG Li-juan   

  1. Sun Yat-sen University Cancer Center, Guangzhou 510060, China
  • Received:2019-08-12 Published:2020-07-21

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摘要： 目的 探讨乳腺癌患者术后1年期间患肢并发症的状况及变化规律。方法 选取80例乳腺癌术后患者,测量患者术后3个月、6个月、12个月的患肢并发症的发生状况,进行统计描述。结果 80例乳腺癌患者术后1年期间,患肢并发症中,除患肢淋巴水肿发生率升高外,患肢疼痛、感觉异常、患肢肌力下降及条索状结构的发生率均呈下降趋势,发生率在3个时点的差异有统计学意义（P<0.05）。结论 乳腺癌患者术后上肢功能康复效果总体并不理想,虽除淋巴水肿以外,其余并发症发生率均呈下降趋势,但直至术后1年均未能完全恢复,而术后淋巴水肿是上肢功能恢复中唯一会随着时间进展而增加发生率的并发症。提示需加强乳腺癌患者术后患肢功能及其并发症的管理,并且时间应维持在1年以上。

关键词: 乳腺癌, 肢体功能, 患肢并发症

Abstract: Objective To investigate the complications of affected extremities and its change rules in breast cancer patients one year after the surgery.Methods Eighty patients after breast cancer surgery were involved in the study and the occurrence of complications of affected extremities 3, 6, and 12 months after the surgery was described statistically. Results The incidence of lymphedema increased in the year after the surgery, while that of the complications such as pain, sensory disturbance, decreased muscle strength and cord structure decreased. The incidence difference 3, 6, and 12 months after the surgery indicated statistical significance (P<0.05). Conclusion Overall rehabilitation effect of patients after breast cancer surgery is not very ideal. Except the incidence of lymphedema, even though that of other complications decreased, lymphedema, the only complication the incidence of which was increasingly severe with the prolonging of the time, is still not improved one year after the surgery. It is suggested that more measures should be taken for function management and complication management of affected extremities for more than 1 year.

Key words: breast cancer, function of extremities, complication of affected extremities

中图分类号: 

  • R473.73
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