四子散联合生姜热敷对乳腺癌术后患者上肢淋巴水肿的干预效果：一项随机对照试验

汪叶灵; 黄香华; 韦爱雄; 覃若梅; 张丽秀

doi:10.70693/cjst.v2i4.2094

Authors

汪叶灵广西中医药大学第一附属医院
黄香华广西中医药大学第一附属医院
韦爱雄广西中医药大学第一附属医院
覃若梅广西中医药大学第一附属医院
张丽秀广西中医药大学第一附属医院

DOI:

https://doi.org/10.70693/cjst.v2i4.2094

Keywords:

生姜；热敷疗法；乳腺肿瘤；乳腺癌淋巴水肿；随机对照试验

Abstract

探讨四子散联合生姜热敷对乳腺癌术后上肢淋巴水肿的干预效果。采用随机对照试验设计，将84例患者按随机数字表法分为观察组与对照组，每组42例,分组采用密封信封法隐蔽。对照组给予常规护理，观察组在此基础上加用四子散联合生姜热敷，每日1次，连续干预4周。比较两组水肿改善情况、ADL、SAS、SDS、SF-36评分及临床疗效。观察组总有效率为91.67%，高于对照组的76.19%（χ²=18.26，P<0.05）；治疗后观察组患肢周径差（6.77±3.72cm vs. 8.45±3.66cm，t=3.28，P<0.05）、肿胀恢复时间（11.35±2.28周vs.13.25±2.11周，t=5.67，P<0.05）均优于对照组；ADL及SF-36各维度评分显著提高，SAS、SDS评分显著降低（P<0.05）。两组均未发生不良反应。四子散联合生姜热敷可有效减轻乳腺癌术后上肢淋巴水肿，改善心理状态与生活质量，安全性良好。

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