关键词: 乳腺肿瘤, 淋巴水肿, 干预性研究

Abstract: Objective To explore an effective rehabilitation approach for breast cancer patients with lymphedema after the surgery. Methods A total of 94 breast cancer patients with lymphedema after the surgery were selected and divided into two groups randomly. In the intervention group （ 48 cases ）， Microwave Therapy （ MT ） combined with Intermittent Pneumatic Compression （ IPC ） pump and Systematic Rehabilitation Exercise （ SRE ） were provided. In the
control group （ 46 cases ）， the patients were treated with IPC combined with SRE. The involved upper arm circumference ， the range of shoulder motion ， level of swelling ， and the quality of life were measured at one day before the intervention ， and 2 ， 4 ， and 6 months after the intervention respectively in two groups. Results Repeated Measures Analysis of Variance showed that the differences between the two groups in the main effect on the involved upper arm circumference （ P＜0.05 ）， in the main effect of time on the range of shoulder outreach （ P＜0.05 ）， in the main effects of intervention and time on five dimensions and total scores of patients QOL （ P＜0.05 ） were all statistically significant. The result also demonstrated that the score of emotion was associated with the time factor ， indicating that they interacted with each other （ P＜0.05 ） . Conclusion MT combined with IPP and SRE are more effective on the rehabilitation for breast cancer patients with lymphedema after the surgery and is recommended to clinical practice.

Key words: Breast Neoplasms , Lymphedema , Intervention Studies