摘要
目的预防乳腺癌术后病人患侧上肢淋巴水肿的发生。方法选择临床诊断 (经病理证实 )为乳腺癌行乳腺癌改良根治术后病人 70例 ,随机分为观察组和对照组 ,各 35例。观察组术后给予自制专用软枕 ,抬高患侧上肢 ;对照组按常规方法抬高患肢。比较两组病人术后患侧上肢淋巴水肿发生率。结果观察组病人术后患侧上肢淋巴水肿 11例 (占 31.4 3% ) ,对照组 2 0例 (占 5 7.14 % ) ,两组比较 ,差异有显著性意义 (P <0 .0 5 )。结论乳腺癌术后病人使用自制专用软枕 ,能降低术后患侧上肢淋巴水肿发生率 ,病人感觉舒适 。
Objective A soft pillow was developed for preventing lymphedema and its effect was observed.Methods Seventy cases of pathologically verified breast carcinoma who had received radical mastectomy were randomly divided into the experimental group and the control group, with 35 patients in each group. The patients in the experimental were asked to use a specially-made soft pillow for lifting the upper limbs of the affected side. In control group, the traditional method was used for doing so. The circumference of affected arm was compared between the two groups before and after the operation.Results The affected upper arm developed swelling in 11 patients (31.43%) of the experimental group, which was much lower than the number of patients with swelling of upper arm (20 cases, 57.14 %) in the control group, with a significant difference found between the two groups (P<0.05).Conclusion Use of the soft pillow after breast carcinoma operation can reduce the occurrence of lymphedema of affected arm in breast carcinoma patients. The pillow is comfortable and is readily accepted by the patients. It has practical value in clinical practice.
出处
《护理学杂志（综合版）》
2004年第20期11-12,共2页
Journal of Nursing Science
基金
美国增进人类健康 (PSBH)科研基金会资助项目(2 0 0 2 4 7)
关键词
乳腺癌
患侧上肢
淋巴水肿
革新推广
breast carcinoma
affected upperarm
lymphedema
innovation
