The background of the study:Upper limb lymphedema after breast cancer operation is the most common complicating disease with the incidence rate of6%-62%. Patients often have to endure the lifetime abnormal appearance, fatigue, recurrent infection, upper limb dysfunction, and even becoming disabled. Cyperus rotundus with Sizi powder is the classic Sizi powder the addition and subtraction and is generally used for the treatment of knee osteoarthritis clinical pain, recovery of gastrointestinal function after surgery, pneumonia cough and other diseases. The project to expand its range of clinical application, combined with traditional Chinese medicine hot ironing method for edema of upper limb in patients after treatment for breast cancer, is compared with the traditional exercise influence on recovery of upper limb edema and function after breast cancer surgery and its efficacy is demonstrated through clinical observation:the four sub heat ironing method.The purpose of the study:Study and evaluate the safety effect of external therapy of traditional Chinese medicine in treating upper limb edema after breast cancer operation, and establish methods to treat upper extremity edema in breast cancer and evaluate this effect. This method will provide more reliable references for the objective and accurate evaluation of external therapy of traditional Chinese medicine clinical.Research methods:Take the prospective, randomized, comparative clinical experiment.54breast cancer patients are selected to meet the test standard. Randomly divided into experimental group and control group. The experimental group adopts Cyperus rotundus with Sizi powder and upper limb functional exercises, the control group took the upper limb function exercise after operation only.The experimental group:Cyperus rotundus with Sizi powder heat ironing and upper limb function exercise. This group is treated at the beginning of the day, and postoperative functional exercises (see appendix1). Cyperus rotundus with Sizi powder heat ironing containing cyperus60g, white mustard seed60g, perilla60g, radish seed60g, Wu Zhuyu60g, before using, heated to40-50degrees, everyday deposited in the swelling part of upper limb and the surrounding edema,30mins each time,1time a day, each treatment lasts1month continuous treatment of2months.Control group:do the functional exercises according to their own stage, the treatment cycle is the same as the experimental group. The two groups after one course set up1interview, observation and score the upper limb swelling and pain, shoulder activity measurement indexes are interviewed2times, and are checked randomly3months later..Results:Patients:Cyperus rotundus with Sizi powder heat ironing combined with upper limb function exercise in the treatment of upper edema lessened, pain was relieved, the activity of the shoulder joints increases. Patients with postoperative upper limb functional exercise after simple upper limb edema lessen, pain is relieved, the activity of the shoulder joints increases. The effect of Cyperus rotundus with Sizi powder heat ironing therapy for breast cancer patients’upper limb edema and the obstacle of upper limbs activity is better than to that of the only upper limb functional exercise group.Conclusion:For the first time we add Cyperus rotundus into Sizi powder, and found that the combination of traditional Chinese medicine hot ironing method curative effect in the treatment of breast cancer patients postoperative upper limb edema and dysfunction is effective. In comparison, Cyperus rotundus with Sizi powder heat ironing method is more significant than simple upper limb functional exercise in the treatment of breast cancer patients postoperative upper limb edema and dysfunction. |