自拟温阳利水汤联合地奥司明治疗乳腺癌术后上肢淋巴水肿的疗效观察

摘要 目的：探究自拟温阳利水汤联合地奥司明治疗乳腺癌术后上肢淋巴水肿的疗效。方法：选择2013年1月至2019年6月在我院经病理确诊为乳腺癌术后上肢淋巴水肿的住院患者80例，根据治疗方式不同分为两组，每组各40例，其中，对照组采用地奥司明进行治疗，研究组在对照组基础上联合自拟温阳利水汤进行治疗，两组均连续治疗15 d；对比两组的治疗总有效率，对比两组治疗前后的腕横纹、肘横纹、腕横纹上10 cm、肘横纹上10 cm处臂围；对比两组患者治疗前后的前屈、后伸、外展、内收等活动角度。结果：研究组治疗总有效率95.00 %（38/40）显著高于对照组75.00 %（30/40），对比有显著差异（P＜0.05）；治疗前，两组的腕横纹、肘横纹、腕横纹上10 cm、肘横纹上10 cm处臂围对比无统计学差异（P＞0.05）；治疗后，两组的腕横纹、肘横纹、腕横纹上10 cm、肘横纹上10 cm处臂围均比治疗前有所减小，且研究组更小（P＜0.05）；治疗前，两组的前屈、后伸、外展、内收等活动角度对比无统计学差异（P＞0.05）；治疗后，两组患者的前屈、后伸、外展、内收等活动角度均比治疗前有所增大，且研究组更大（P＜0.05）。结论：自拟温阳利水汤联合地奥司明治疗乳腺癌术后上肢淋巴水肿的疗效显著，该方法可有效改善患者的肩关节活动度，临床应用价值较高。

Observation of Curative Effect of Self-made Wenyang Lishui Decoction Combined with Diosmin on Upper Limb Lymphedema after Breast Cancer Surgery

ABSTRACT Objective: To investigate the effect of self-made Wenyang Lishui Decoction combined with diosmin on upper limb lymphedema after breast cancer surgery. Methods: From January 2013 to June 2019, 80 inpatients with pathologically diagnosed upper extremity lymphedema after breast cancer in our hospital were selected as the research subjects. They were divided into two groups according to different treatment methods, with 40 patients in each group. Among them, the patients in the control group were treated with diosmin, and the patients in the study group were treated with Wenyang Lishui Decoction based on the control group. The patients in both groups were treated continuously for 15 days. Compare the total effective rate of treatment between the two groups of patients, compare the wrist bands, elbow bands, wrist bands 10 cm, and elbow bands 10 cm above the arm bands. Compare the angles of motion of the two groups of patients before and after treatment, such as forward flexion, extension, abduction, and adduction. Results: After the intervention, the total effective rate of treatment in the study group was 95.00 % (38/40), which was significantly higher than the total effective rate of treatment in the control group, 75.00 % (30/40). The difference was statistically significant (P<0.05). Before treatment, there was no statistically significant difference in arm circumference at the wrist stripes, elbow stripes, wrist stripes 10 cm, and elbows stripes 10 cm (P>0.05). After treatment, the wrist circumference, elbow stripes, 10 cm above the wrist stripes, and 10 cm above the elbow stripes were reduced in both groups than before treatment, and the study group was smaller (P<0.05). Before treatment, there was no statistical difference in the angles of movement of the two groups of patients such as forward flexion, extension, abduction and adduction (P>0.05). After treatment, the angles of motion of forward flexion, extension, abduction, and adduction of the two groups of patients were larger than those before treatment, and the study group was larger (P<0.05). Conclusion: The self-made Wenyang Lishui Decoction combined with Diosmin is effective in treating upper extremity lymphedema after breast cancer.