摘要
目的探究乳腺癌根治术后患侧肩关节功能状态的相关影响因素。方法回顾性分析2018年3月至2020年3月于濮阳市妇幼保健院行乳腺癌根治术的108例患者的临床资料。通过医院信息系统收集患者的一般资料、乳腺癌病理学资料、淋巴结清扫情况、术后功能锻炼等信息,并进行统计分析。先采用单因素回归分析法对乳腺癌根治术后患侧肩关节功能异常的影响因素进行分析,将差异有统计学意义的因素纳入多因素Logistic回归分析,探究乳腺癌根治术后影响患侧肩关节功能异常的独立危险因素。结果单因素分析结果显示,患者术后是否进行系统性功能训练、功能训练频率、单次功能锻炼持续时长、功能训练种类是乳腺癌根治术患者术后肩关节功能异常的影响因素,差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,乳腺癌根治术患者术后从未进行系统性功能训练、功能训练频率≤3次/周、单次功能训练时长≤20 min/次是出现肩关节功能异常的独立危险因素(P<0.05)。结论乳腺癌根治术后未进行功能训练、训练频率低于3次/周以及单次锻炼时长不足20 min是术后肩关节功能异常的独立危险因素,医护人员需予以重视。
Objective To investigate the related factors influencing the functional status of shoulder joint of affected side after radical mastectomy for breast cancer.Methods Retrospective analysis was made on the clinical data of 108 patients with breast cancer who underwent radical mastectomy in Puyang Maternal and Child Care Centers from March 2018 to March 2020.General data,pathological data of breast cancer,lymph node dissection condition,postoperative functional training of patients were collected through Hospital Information System,and statistical analysis was conducted.First,univariate regression analysis was used to analyze the influencing factors of shoulder joint dysfunction after radical mastectomy for breast cancer,and the factors with statistical differences were included in the multivariate Logistic regression analysis to investigate the independent risk factors of shoulder joint dysfunction after radical mastectomy for breast cancer.Results The result of univariate analysis showed that systematic functional training,the frequency of functional training,the duration of single functional training,and the type of functional training were influencing factors of shoulder joint dysfunction after radical mastectomy for breast cancer(P<0.05).The results of multivariate Logistic regression analysis showed that no systematic functional training after surgery,training frequency≤3 times/week and duration of single functional training≤20 min/once were independent risk factors of shoulder joint dysfunction after radial mastectomy(P<0.05).Conclusions No functional training,training frequency≤3 times/week and duration of functional training≤20 min/once are independent risk factors of shoulder joint dysfunction after radical mastectomy for breast cancer,which deserve the attentions of medical staffs.
作者
石彦芳
王小娟
韩昕昕
Shi Yanfang;Wang Xiaojuan;Han Xinxin(Department of Breast Surgery,Puyang Maternal and Child Care Centers,Puyang 457000,China)
出处
《中国实用医刊》
2023年第7期29-32,共4页
Chinese Journal of Practical Medicine
