Volume 23 Issue 1
Jan.  2025
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HE Ximei, CAO Yachen, ZHOU Xiang, YE Zhiqiang. Study on the clinical effect of manual lymphatic drainage combined with intramuscular sticking on postoperative rehabilitation of breast cancer patients[J]. Chinese Journal of General Practice, 2025, 23(1): 127-130. doi: 10.16766/j.cnki.issn.1674-4152.003850
Citation: HE Ximei, CAO Yachen, ZHOU Xiang, YE Zhiqiang. Study on the clinical effect of manual lymphatic drainage combined with intramuscular sticking on postoperative rehabilitation of breast cancer patients[J]. Chinese Journal of General Practice, 2025, 23(1): 127-130. doi: 10.16766/j.cnki.issn.1674-4152.003850

Study on the clinical effect of manual lymphatic drainage combined with intramuscular sticking on postoperative rehabilitation of breast cancer patients

doi: 10.16766/j.cnki.issn.1674-4152.003850
Funds:

 LQ22h160022

  • Received Date: 2024-01-15
    Available Online: 2025-02-13
  •   Objective  In order to improve the postoperative rehabilitation level of breast cancer patients, to explore the clinical effect of manual lymphatic drainage combined with intramuscular plaster in such patients.  Methods  A total of 130 patients who underwent breast cancer surgery in the First Affiliated Hospital of Wenzhou Medical University from January 2020 to December 2022 were included, and divided into study group (65 cases) and control group (65 cases). The control group patients were undergone staged rehabilitation training, and on this basis, the study group patients were received the implementation of manual lymphatic drainage combined with intramuscular effect patch therapy intervention. The changes in shoulder joint mobility of patients before and after intervention were measured. The quality of life, shoulder joint function, and exercise endurance level after intervention were evaluated. The occurrence of upper limb edema in patients during the intervention period were counted.  Results  After intervention, the range of motion of shoulder joint (flexion, abduction, adduction, and extension) in the study group was significantly higher than those in the control group (P < 0.001). The functional assessment of cancertherapy-breast (FACT-B) score and Constant-Murley score of the study group [(118.37±10.79) points, (88.95±7.46) points] were significantly higher than those of the control group [(105.92±10.36) points, (80.46±7.03) points, P < 0.001]. The maximum heart rate duration, 6-minute walking distance, and Gunnar Borg score in the study group were significantly longer or higher than those in the control group, while the heart rate recovery time was significantly shorter than that in the control group (P < 0.001). The incidence of upper limb edema during the intervention period in the study group was significantly lower than that in the control group [9.23% (6/65) vs. 23.08% (15/65), χ2=4.600, P=0.032].  Conclusion  On the basis of rehabilitation training, manual lymphatic drainage combined with intramuscular effect patch can improve the recovery level of shoulder joint function of patients with breast cancer after surgery, improve the quality of life, enhance sports endurance, and help reduce the risk of upper limb edema.

     

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  • [1]
    周玉, 童宗培, 王莉, 等. FMEA模式在乳腺癌患者癌性伤口和术后恢复中的应用[J]. 中华全科医学, 2024, 22(2): 340-343. doi: 10.16766/j.cnki.issn.1674-4152.003398

    ZHOU Y, TONG Z P, WANG L, et al. Application of FMEA model prevention in cancer wound and postoperative recovery in patients with breast cancer[J]. Chinese Journal of General Practice, 2024, 22(2): 340-343. doi: 10.16766/j.cnki.issn.1674-4152.003398
    [2]
    张立, 张家瑞. 改良根治术、保乳术联合放疗治疗三阴性乳腺癌的术后局部复发情况分析[J]. 中国实用医药, 2021, 16(18): 82-84.

    ZHANG L, ZHANG J R. Analysis of local recurrence after modified radical mastectomy, breast conserving surgery and radiotherapy for triple negative breast cancer[J]. China Practical Medical, 2021, 16(18): 82-84.
    [3]
    黎立喜, 马飞. 三阴性乳腺癌复发、转移模式和危险因素: 一项单中心回顾性研究[J]. 中华乳腺病杂志(电子版), 2021, 15(3): 137-142. doi: 10.3877/cma.j.issn.1674-0807.2021.03.002

    LI L X, MA F. Pattern of recurrence and metastasis in triple negative breast cancer and risk factors: a single-center retrospective study[J]. Chinese Journal of Breast Disease (Electronic Edition), 2021, 15(3): 137-142. doi: 10.3877/cma.j.issn.1674-0807.2021.03.002
    [4]
    方文成, 宗守凯, 张传平. 保乳术联合前哨淋巴结活检治疗早期三阴性乳腺癌的临床研究[J]. 中国现代普通外科进展, 2022, 25(8): 636-638.

    FANG W C, ZONG S K, ZHANG C P. Clinical study of breast conserving surgery combined with sentinel lymph node biopsy in the treatment of early triple negative breast cancer[J]. Chinese Journal of Current Advances in General Surgery, 2022, 25(8): 636-638.
    [5]
    CHEN J C, LI Y, FISHER J L, et al. Modified radical mastectomy in De Novo stage Ⅳ inflammatory breast cancer[J]. Ann Surg Oncol, 2022, 29(11): 6681-6688. doi: 10.1245/s10434-022-11975-6
    [6]
    吴云云, 叶建东, 王晓东, 等. 女性乳腺癌患者术后上肢水肿的危险因素分析及其列线图预测模型的构建[J]. 中国现代普通外科进展, 2023, 26(1): 28-32.

    WU Y Y, YE J D, WANG X D, et al. Analysis of risk factors for upper limb edema in female breast cancer patients after operation and construction of a nomogram prediction model[J]. Chinese Journal of Current Advances in General Surgery, 2023, 26(1): 28-32.
    [7]
    饶坤林, 陈健健. 乳腺癌患者术后发生上肢淋巴水肿的危险因素分析[J]. 中国临床医生杂志, 2021, 49(9): 1083-1085. doi: 10.3969/j.issn.2095-8552.2021.09.022

    RAO K L, CHEN J J. Analysis of risk factors for postoperative upper limb lymphedema in patients with breast cancer[J]. Chinese Journal For Clinicians, 2021, 49(9): 1083-1085. doi: 10.3969/j.issn.2095-8552.2021.09.022
    [8]
    ZHANG J, SUN X Y, ZHANG F Y, et al. Perioperative nursing of patients with breast cancer undergoing modified radical mastectomy[J]. Asian J Surg, 2023, 46(3): 1385-1386. doi: 10.1016/j.asjsur.2022.09.002
    [9]
    陈玉琴, 石帅, 李玲, 等. 手法淋巴引流结合气压治疗对乳腺癌术后上肢淋巴水肿的预防效果[J]. 临床护理杂志, 2022, 21(5): 45-48.

    CHEN Y Q, SHI S, LI L, et al. Prevention of upper limb lymphedema after breast cancer surgery by manual lymphatic drainage combined with pneumatic therapy[J]. Journal of Clinical Nursing, 2022, 21(5): 45-48.
    [10]
    吴蒙, 廖妍妍, 陈玫洁, 等. 肩关节运动八式康复锻炼联合太极拳锻炼对乳腺癌改良根治术后患者患肢功能恢复、睡眠质量和免疫功能的影响[J]. 现代生物医学进展, 2022, 22(17): 3255-3258, 3269.

    WU M, LIAO Y Y, CHEN M J, et al. Effect of eight types of shoulder joint exercises combined with Taijiquan exercise on functional recovery of affected limb, sleep quality and immune function of patients after modified radical mastectomy for breast cancer[J]. Progress in Modern Biomedicine, 2022, 22(17): 3255-3258, 3269.
    [11]
    徐艳丽, 刘瑞勤, 石明明, 等. 肩关节运动八式康复锻炼在乳腺癌改良根治术后病人中的应用[J]. 全科护理, 2022, 20(10): 1377-1379.

    XU Y L, LIU R Q, SHI M M, et al. Application of eight rehabilitation exercises of shoulder joint movement in patients after modified radical mastectomy for breast cancer[J]. Chinese General Practice Nursing, 2022, 20(10): 1377-1379.
    [12]
    欧晓静, 王昭君, 马海广, 等. 上肢拉伸锻炼联合徒手推压治疗乳腺癌术后患肢腋网综合征的疗效[J]. 浙江临床医学, 2023, 25(1): 142-143.

    OU X J, WANG Z J, MA H G, et al. Effect of upper limb stretching exercise combined with freehand compression on axillary rete syndrome after breast cancer surgery[J]. Zhejiang Clinical Medical Journal, 2023, 25(1): 142-143.
    [13]
    SHU Q, YANG Y, SHAO Y, et al. Comparison of rehabilitation training at different timepoints to restore shoulder function in patients with breast cancer after lymph node dissection: a randomized controlled trial[J]. Arch Phys Med Rehabil, 2023, 104(5): 728-737.
    [14]
    陈燕, 詹汉柽. 渐进式阻力训练联合徒手淋巴引流治疗乳腺癌术后上肢淋巴水肿的应用效果[J]. 中国基层医药, 2024, 31(6): 835-840.

    CHEN Y, ZHAN H C. Effect of progressive resistance training combined with freehand lymphatic drainage on upper limb lymphedema after breast cancer surgery[J]. Chinese Journal of Primary Medicine and Pharmacy, 2024, 31(6): 835-840.
    [15]
    卢影, 张红利. 综合消肿疗法配合功能锻炼用于术后淋巴水肿乳腺癌患者疼痛缓解及消肿效果观察[J]. 医药论坛杂志, 2022, 43(7): 95-97, 103.

    LU Y, ZHANG H L. Effect of comprehensive detumescence therapy combined with functional exercise on pain relief and detumescence of postoperative lymphedema breast cancer patients[J]. Journal of Medical Forum, 2022, 43(7): 95-97, 103.
    [16]
    罗羽, 邓永春, 周俸名, 等. 乳腺癌患者新辅助化疗期间认知水平与负性情绪的纵向研究[J]. 安徽医学, 2024, 45(5): 630-635.

    LUO Y, DENG Y C, ZHOU F M, et al. A longitudinal study of cognitive level and negative emotion in breast cancer patients during neoadjuvant chemotherapy[J]. Anhui Medical Journal, 2024, 45(5): 630-635.
    [17]
    颜颖, 李石岩. 多学科协作护理联合正念减压对乳腺癌根治术患者术后自我效能、肩关节活动度及负性情绪的影响[J]. 中国临床研究, 2024, 37(11): 1803-1807.

    YAN Y, LI S Y. Effects of multidisciplinary collaborative nursing combined with mindfulness decompression on self-efficacy, shoulder joint range of motion and negative emotions of patients after radical surgery for breast cancer[J]. Chinese Journal of Clinical Research, 2024, 37(11): 1803-1807.
    [18]
    胡翠, 张珊珊, 成志芳. 功能贴布及抗阻力训练联合用于乳腺癌根治术后上肢淋巴水肿的价值[J]. 中华保健医学杂志, 2022, 24(5): 415-418.

    HU C, ZHANG S S, CHENG Z F. The value of functional patch combined with resistance training for upper limb lymphedema after radical mastectomy[J]. Chinese Journal of Health Care and Medicine, 2022, 24(5): 415-418.
    [19]
    朱永翠, 徐康, 程丽萍. 手法淋巴引流法联合功能康复锻炼对乳腺癌术后患肢功能恢复的效果[J]. 中国现代医生, 2021, 59(30): 29-33.

    ZHU Y C, XU K, CHENG L P. Effect of manual lymphatic drainage combined with functional rehabilitation exercise on functional recovery of affected limbs of patients after breast cancer surgery[J]. China Modern Doctor, 2021, 59(30): 29-33.
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