运动干预对乳腺癌患者术后体能、心理及生活质量的影响（附3例报道）_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

周文 ¹ ,  陈国经 ²

1. ;
2. ;

Corresponding author：

陈国经, Email: 917543053@qq.com

Keywords：

乳腺癌; 运动; 康复; 体能; 心理; 生活质量

DOI：

10.7507/1007-9424.201801072

Video：

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目的探讨运动干预对乳腺癌患者术后体能、心理及生活质量的影响。方法回顾性分析笔者所在诊所对 3 例乳腺癌患者术后进行运动干预后的临床数据。结果 3 例患者均完成了 3 次/周的运动训练。运动干预 12 次（4 周）时及运动开始至第3 个月时，除1例患者在运动干预至第12次时的生活质量评分有下降及1例患者因用药导致1 min心率回落速度降低外，3 例患者的体质量、心肺运动测试结果、功能性运动模式筛查结果、生活质量及心理状态均得到了改善。结论运动干预可能有利于乳腺癌患者术后的康复，待进一步积累病例验证。

Citation： 周文, 陈国经. 运动干预对乳腺癌患者术后体能、心理及生活质量的影响（附3例报道）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(8): 988-992. doi: 10.7507/1007-9424.201801072 Copy

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14.	Patnaik JL, Byers T, DiGuiseppi C, et al. Cardiovascular disease competes with breast cancer as the leading cause of death for older females diagnosed with breast cancer: a retrospective cohort study. Breast Cancer Res, 2011, 13(3): R64.
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32.	Blacklock R, Rhodes R, Blanchard C, et al. Effects of exercise intensity and self-efficacy on state anxiety with breast cancer survivors. Oncol Nurs Forum, 2010, 37(2): 206-212.
33.	Segar ML, Katch VL, Roth RS, et al. The effect of aerobic exercise on self-esteem and depressive and anxiety symptoms among breast cancer survivors. Oncol Nurs Forum, 1998, 25(1): 107-113.
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35.	Mehnert A, Veers S, Howaldt D, et al. Effects of a physical exercise rehabilitation group program on anxiety, depression, body image, and health-related quality of life among breast cancer patients[J]. Onkologie. 2011, 34(5): 248-253.

1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin, 2018, 68(1): 7-30.
2. Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin, 2016, 66(2): 115-132.
3. Ibrahim EM, Al-Homaidh A. Physical activity and survival after breast cancer diagnosis: meta-analysis of published studies. Med Oncol, 2011, 28(3): 753-765.
4. Lahart IM, Metsios GS, Nevill AM, et al. Physical activity, risk of death and recurrence in breast cancer survivors: A systematic review and meta-analysis of epidemiological studies. Acta Oncol, 2015, 54(5): 635-654.
5. Friedenreich CM, Gregory J, Kopciuk KA, et al. Prospective cohort study of lifetime physical activity and breast cancer survival. Int J Cancer, 2009, 124(8): 1954-1962.
6. Cook G, Burton L, Hoogenboom BJ, et al. Functional movement screening: the use of fundamental movements as an assessment of function-part 2. Int J Sports Phys Ther, 2014, 9(4): 549-563.
7. 万崇华, 张冬梅, 汤学良, 等. 乳腺癌患者生命质量测定量表(FACT-B)中文版的修订. 中国心理卫生杂志, 2003, 17(5): 298-300.
8. 郑晓华, 舒良, 赵吉凤, 等. 状态-特质焦虑问题在长春的测试报告. 中国心理卫生杂志, 1993, 7(2): 60-62.
9. Cheng SK, Chong GH, Wong CW. Chinese Frost Multidimensional Perfectionism Scale: a validation and prediction of self-esteem and psychological distress. J Clin Psychol, 1999, 55(9): 1051-1061.
10. American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. 9th ed. Philadelphia, PA: Lippincott Willams & Wilkins, 2014: 263-270.
11. American College of Sports Medicine. ACSM’s Guide to Exercise and Cancer Survivorship. Philadelphia, PA: Lippincott Willams & Wilkins, 2012: 89-90.
12. Jones LW, Haykowsky MJ, Swartz JJ, et al. Early breast cancer therapy and cardiovascular injury. J Am Coll Cardiol, 2007, 50(15): 1435-1441.
13. Riihimäki M, Thomsen H, Brandt A, et al. Death causes in breast cancer patients. Ann Oncol, 2012, 23(3): 604-610.
14. Patnaik JL, Byers T, DiGuiseppi C, et al. Cardiovascular disease competes with breast cancer as the leading cause of death for older females diagnosed with breast cancer: a retrospective cohort study. Breast Cancer Res, 2011, 13(3): R64.
15. Green DJ, Spence A, Halliwill JR, et al. Exercise and vascular adaptation in asymptomatic humans. Exp Physiol, 2011, 96(2): 57-70.
16. Walsh JH, Best M, Maiorana AJ, et al. Exercise improves conduit vessel endothelial function in CAD patients. J Appl Physiol. 2003, 285: 20-25.
17. American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. 9th ed. Philadelphia, PA: Lippincott Willams & Wilkins, 2014: 263-270.
18. Ballard-Barbash R, Friedenreich CM, Courneya KS, et al. Physical activity, biomarkers, and disease outcomes in cancer survivors: a systematic review. J Natl Cancer Inst, 2012, 104(11): 815-840.
19. Ibrahim EM, Al-Homaidh A. Physical activity and survival after breast cancer diagnosis: meta-analysis of published studies. Med Oncol. 2011, 28(3): 753-765.
20. Courneya KS, Mackey JR, Bell GJ, et al. Randomized controlled trial of exercise training in postmenopausal breast cancer survivors: cardiopulmonary and quality of life outcomes. J Clin Oncol, 2003, 21(9): 1660-1668.
21. Holmes MD, Chen WY, Feskanich D, et al. Physical activity and survival after breast cancer diagnosis. JAMA, 2005, 293(20): 2479-2486.
22. 孙莉莉. 美国功能动作测试(FMS)概述. 体育科研, 2011, (5): 29-32.
23. Cramp F, Byron-Daniel J. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev, 2012, 11: CD006145.
24. Buffart LM, Kalter J, Sweegers MG, et al. Effects and moderators of exercise on quality of life and physical function in patients with cancer: An individual patient data meta-analysis of 34 RCTs. Cancer Treat Rev, 2017, 52: 91-104.
25. Phillips SM, Awick EA, Conroy DE, et al. Objectively measured physical activity and sedentary behavior and quality of life indicators in survivors of breast cancer. Cancer, 2015, 121(22): 4044-4052.
26. Trinh L, Amireault S, Lacombe J, et al. Physical activity and psychological health among breast cancer survivors: Interactions with sedentary behavior and physical activity. Psycho Oncol,2015, 31(9): 1825-1838.
27. Velthuis MJ, Agasi-Idenburg SC, Aufdemkampe G, et al. The effect of physical exercise on cancer-related fatigue during cancer treatment: a meta-analysis of randomised controlled trials. Clin Oncol (R Coll Radiol), 2010, 22(3): 208-221.
28. Schneider CM, Hsieh CC, Sprod LK, et al. Effects of supervised exercise training on cardiopulmonary function and fatigue in breast cancer survivors during and after treatment. Cancer, 2007, 110(4): 918-925.
29. Cadmus LA, Salovey P, Yu H, et al. Exercise and quality of life during and after treatment for breast cancer: results of two randomized controlled trials. Psychooncology, 2009, 18(4): 343-352.
30. Hayes SC, Rye S, Disipio T, et al. Exercise for health: a randomized, controlled trial evaluating the impact of a pragmatic, translational exercise intervention on the quality of life, function and treatment-related side effects following breast cancer. Breast Cancer Res Treat, 2013, 137(1): 175-186.
31. Mutrie N, Campbell AM, Whyte F, et al. Benefits of supervised group exercise programme for women being treated for early stage breast cancer: pragmatic randomised controlled trial. BMJ, 2007, 334(7592): 517.
32. Blacklock R, Rhodes R, Blanchard C, et al. Effects of exercise intensity and self-efficacy on state anxiety with breast cancer survivors. Oncol Nurs Forum, 2010, 37(2): 206-212.
33. Segar ML, Katch VL, Roth RS, et al. The effect of aerobic exercise on self-esteem and depressive and anxiety symptoms among breast cancer survivors. Oncol Nurs Forum, 1998, 25(1): 107-113.
34. Schmidt ME, Wiskemann J, Armbrust P, et al. Effects of resistance exercise on fatigue and quality of life in breast cancer patients undergoing adjuvant chemotherapy: A randomized controlled trial. Int J Cancer, 2015, 137(2): 471-480.
35. Mehnert A, Veers S, Howaldt D, et al. Effects of a physical exercise rehabilitation group program on anxiety, depression, body image, and health-related quality of life among breast cancer patients[J]. Onkologie. 2011, 34(5): 248-253.

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运动干预对乳腺癌患者术后体能、心理及生活质量的影响（附3例报道）

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