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Transcutaneous Electrical Acupoint Stimulation Combined with Warm Acupuncture for breast cancer related upper limb lymphedema:A Retrospective Cohort Study

引用

Chinese Journal of Integrative Medicine 2023年第6期29卷 534-539页

作者： LU Chao LI Guang-liang DENG De-hou BAO Wen-long WANG Yan ZHANG Ai-qin Department of Traditional Chinese Medicine the Cancer Hospital of University of Chinese Academy of Sciences(Zhejiang Cancer Hospital)Hangzhou(310022)China Institute of Basic Medicine and cancer Chinese Academy of SciencesHangzhou(310022)China Department of breast Medical Oncology the Cancer Hospital of University of Chinese Academy of Sciences(Zhejiang Cancer Hospital)Hangzhou(310022)China

Objective To observe the clinical efficacy of transcutaneous electrical acupoint stimulation(TEAS)combined with warm acupuncture in treating breast cancer associated with upper limb lymphedema(BCRL).Methods This was a retrospective cohort study using a paired control ***-two BCRL patients were assigned to the control group(27 cases)and the treatment group(25 cases).The patients in the control group were treated with lymphedema comprehensive detumescence treatment(CDT)for 4 weeks,including systematic therapy composed of manual lymphatic drainage,compression bandage,skincare,and functional *** patients in the treatment group were treated with TEAS combined with warm acupuncture based on the control group *** treatment lasted for 30 min and was applied twice a week for 4 *** arm circumference(AC)of different positions of the affected limb and the degree of swelling of the affected limb were evaluated before the first treatment and after the last *** clinical efficacy was evaluated according to the degree of edema before and after *** adverse events during treatment were *** The patients’AC and the swelling feeling of the affected limb in the treatment group and the control group were both reduced compared with those before *** with the control group,AC of the wrist joint transverse stria,the midpoint between the wrist joint transverse stria and the elbow joint transverse stria in the treatment group were significantly reduced(Plimbs in the treatment group was significantly lower than before treatment,and was significantly lower compared with the control group after treatment(P<0.01).The total effective rate was 72%in the treatment group,significantly higher than that in the control group(55.56%,P<0

关键词： transcutaneous electrical acupoint stimulation warm acupuncture breast cancer related upper limb lymphedema comprehensive detumescence treatment clinical efficacy

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