Clinical study on the prevention of lymphedema after breast cancer surgery by combining early rehabilitation training with pressure therapy
早期康复训练联合压力疗法预防乳腺癌术后淋巴水肿的临床研究

摘要

目的 探讨早期康复训练联合压力疗法对乳腺癌术后患者上肢淋巴水肿的预防效果，分析该联合方案对患肢周径、肩关节活动度及生活质量的影响。方法 选取2025年本院收治的乳腺癌手术患者100例，随机分为对照组与观察组各50例。均行乳腺癌手术及清扫，术后常规护理。对照组予常规术后指导；观察组加用早期系统化康复训练联合医用压力疗法6个月。比较两组淋巴水肿发生率、患肢周径差、肩关节活动度、上肢功能和生活质量评分，记录不良反应。结果 术后6个月，观察组淋巴水肿发生率为4.00%，显著低于对照组的18.00%（P<0.05）。观察组在上臂及前臂周径差、肩关节各项活动度、臂肩手功能障碍问卷（DASH）功能评分及生活质量调查问卷（QLQ-C30）评分上均优于对照组（P<0.05）。两组均未发生严重不良事件，安全性良好。结论 早期康复训练联合压力疗法可显著降低乳腺癌术后淋巴水肿发生风险，缩小患肢肿胀周径，改善肩关节活动功能，提升患者术后生活质量，安全可行，适合临床推广应用。

Abstract

Objective To explore the preventive effect of early rehabilitation training combined with pressure therapy on lymphedema of the upper limbs in patients after breast cancer surgery, and to analyze the impact of this combined treatment plan on the circumference of the affected limb, the range of shoulder joint movement, and the quality of life.
Methods A total of 100 patients with breast cancer surgery admitted to our hospital in 2025 were selected and randomly divided into a control group and an observation group, with 50 cases in each group. All patients underwent breast cancer surgery and dissection, and received routine postoperative care. The control group received routine postoperative guidance; the observation group was given early systematic rehabilitation training combined with medical pressure therapy for 6 months. The incidence of lymphedema, the difference in limb circumference, the range of shoulder joint movement, the function of the upper limb, and the quality of life scores were compared between the two groups, and adverse reactions were recorded.
Results At 6 months after surgery, the incidence of lymphedema in the observation group was 4.00%, significantly lower than 18.00% in the control group (P < 0.05). The observation group had better results in the circumference difference of the upper arm and forearm, the range of various shoulder joint movements, the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) function score, and the Quality of Life Questionnaire-C30 (QLQ-C30) quality of life score than the control group (P < 0.05). No serious adverse events occurred in both groups, and the safety was good.
Conclusion   Early rehabilitation training combined with pressure therapy can significantly reduce the risk of lymphedema after breast cancer surgery, reduce the swelling circumference of the affected limb, improve the function of the shoulder joint, and enhance the postoperative quality of life of patients. It is safe and feasible and suitable for clinical promotion and application.