Abstract:
Objective To investigate the clinical effect of manual lymphaticdrainage on postoperative lymphadenopathy after breast cancer.
Methods A review was done on data of 80 female patients at age of 28-82 years [(53.4±4.6) years] treated with radical mastectomy for breast cancer from January 2015 to October 2016. According to the random number table method, 80 patients were randomly divided into observation group and control group, 40 cases in each group. The patients in the control group were treated with routine nursing. The observation group received nursing care such as free lymphatic drainage and health education., AWS incidence and shoulder abduction were measured at 1 week, 1 month, 3 months, 6 months and 12 months after operation.
Results There was no significant difference in the incidence of lymph edema between the two groups (P>0.05). However, the incidence of lymphadenopathy between the two groups was not statistically significant (P> 0.05). But the incidence of lymph edema at 3, 6 and 12 months was 2.5% (1/40), 5.0% (2/40) and 7.5% (3/40), respectively, which was lower than that of the control group (7.5%, 12.5% and 20.0%). The difference was statistically significant(P<0.05). The incidence of AWS in the observation group was 2.5%, 5.0% and 7.5%, as compared with 12.5%, 15.0% and 20.0% in the control group at 3, 6 and 12 months respectively, with statistically significant difference (P<0.05). At 1 week, 1 month, 3 months, 6 months, 12 months, the degree of external surgery up to 45 °, 90 °, 180 °, 180 ° and 180 ° respectively was seen in 24, 27, 30, 40 and 40 patients respectively in the observation group but in 20, 21, 25 and 34 patients respectively in the control group, with statistically significant difference (P<0.05).
Conclusion The prevention of lymph node edema in patients with improved breast cancer after radical operation can significantly reduce the axillary network syndrome, which is beneficial to the recovery of joint function and is worthy of popularization and application.
Key words:
Breast cancer,
Lymph edema,
Manual lymphatic drainage,
Axillary network syndrome
Minhua Zeng, Jie Cai. Therapeutic effect of manual lymphatic drainage on postoperative lymphadenopathy following breast cancer[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2017, 03(02): 125-128.