Clinical Study Of Traditional Chinese Medicine Hot Compress Combined With Meridian Massage In The Treatment Of Upper Extremity Lymphedema After Breast Cancer Surgery

Objective:The purpose of this study was to observe and evaluate the clinical effect of traditional Chinese medicine hot compress combined with meridian massage in the treatment of upper extremity lymphedema after breast cancer operation.Method:In this study,a randomized crossover trial was used,and it was divided into two stages,P1 and P2,for a total of 10 weeks.The study was divided into the first stage(P1)from the 1st to the 4th week,and the treatment was done twice a week for 8 times in total.The second stage(P2),from week 7 to 10,was treated twice a week for a total of 8 times;The 5th to 6th week was the washout period,and no treatment was given.In the first stage(P1),patients in group A received the treatment plan of traditional Chinese medicine hot compress combined with menstrual circulation massage,and patients in group B received the treatment plan of circulation-driven pressure.The patients did not receive any treatment during the washout period;In the second stage(P2),patients in group A received the circulation-driven pressure therapy program,and patients in group B received the traditional Chinese medicine hot compress combined with menstrual circulation massage therapy program.The efficacy indexes were recorded and evaluated before and after P1 and P2 treatment,respectively.Two objective indicators,limb volume and arm circumference,were used as the main therapeutic indexes,while two subjective feelings,VAS swelling score and DASH upper limb function score,were used as the secondary therapeutic indexes.Results:A total of 30 patients were included in this study,among which 2 patients were abscission.The baseline before inclusion was stable,and the data before the second stage of treatment after elution showed no statistical difference,indicating comparability.There was no statistical difference in residual effect and sequential effect,indicating that the design of the experiment was reasonable.1.Comparison of volume changes:After treatment,the volume of TCM comprehensive therapy and air pressure therapy decreased compared with that before treatment,with statistical difference(p<0.05).There was no significant difference between the two groups(p>0.05).The comparison of the difference of volume change before and after treatment between the two treatment methods showed that the comprehensive treatment of traditional Chinese medicine was better than the air pressure treatment group,with statistical difference(p<0.05).2.Comparison of changes in arm circumference:? The arm circumference of the transverse wrist:the arm circumference of the transverse wrist was reduced after treatment in the Chinese medicine comprehensive therapy group compared with that before treatment,with statistical difference(p<0.05),while there was no statistical difference in the results before and after treatment in the air pressure treatment group(p>0.05).? 10cm on the wrist stripe:After treatment,the arm circumference of 10cm on the wrist stripe in the TCM comprehensive treatment group and the air pressure treatment group was reduced compared with before treatment,with statistical difference(p<0.05).There was no significant difference between the two groups(p>0.05).?The elbow stripes:After treatment,the arm circumference of the elbow stripes in the TCM comprehensive treatment group and the air pressure treatment group was smaller than that before treatment,with statistical difference(p<0.05).There was no significant difference between the two groups(p>0.05).? 10cm on the elbow stripe:After treatment,the arm circumference of 10cm on the elbow stripe in the TCM comprehensive treatment group and the air pressure treatment group was reduced compared with before treatment,and there was a statistical difference between the two groups(p<0.05).There was no significant difference between the two groups(p>0.05).? 15cm on the elbow stripe:the arm circumference of the wrist stripe in the TCM comprehensive treatment group was reduced after treatment compared with before treatment,with statistical difference(p<0.05),while there was no statistical difference in the results of the air pressure treatment group before and after treatment(p>0.05).3.Comparison of changes in VAS swelling score:After treatment,the VAS swelling score of the TCM comprehensive treatment group and the air pressure treatment group was reduced compared with that before treatment,with statistical difference(p<0.05).After treatment,the VAS swelling score decreased more obviously in the TCM comprehensive therapy group,with statistical difference(p<0.05).Compared with the difference of VAS swelling score between the two treatment schemes,the volume of TCM comprehensive treatment decreased more significantly,and the results showed statistical difference(p<0.05).4.Comparison of changes in DASH upper limb function scores:After treatment,DASH upper limb function scores in the TCM comprehensive therapy group and the air pressure treatment group were reduced compared with before treatment,with statistical difference(p<0.05).There was no significant difference between the two groups(p>0.05).Comparison of the difference of DASH scores of upper limb function between the two treatment schemes showed that the TCM comprehensive treatment group was better than the air pressure treatment group,with statistical difference(p<0.05).Conclusions:Traditional Chinese medicine hot compress combined with meridian massage in the treatment of upper extremity lymphedema after breast cancer surgery is effective,can significantly reduce the volume and arm circumference of the affected limb,effectively reduce the swelling of the affected limb,and significantly improve the function of the upper limb.