Strössenreuther R H K, Dax I, Emde C
Fachbereichsleitung Lymphangiologie, Krankenhaus Freising.
MMW Fortschr Med. 2004 Jan 22;146(3-4):28-30, 32-3.
Treatment of lymphedema utilizes complex physical (or decongestive) therapy (CDT), so-called. This covers a number of measures including compression, lymph drainage, skin care and individualized exercises. CDT is divided into two phases--an intensive phase during which daily treatment is applied over a period of two to four weeks, and a maintenance phase in which especially compression therapy is continued in order to secure the positive effects achieved during the first phase. Treatment should be initiated in an early stage of the condition, and the aim is to return the patient to the symptom-free latency stage. Neither isolated manual lymph drainage nor equipment-based decongestion is considered for the treatment of lymphedema. To date, the efficacy of various drugs, including selenium, has not been confirmed.
淋巴水肿的治疗采用所谓的综合物理(或消肿)疗法(CDT)。这包括多种措施,如加压、淋巴引流、皮肤护理和个性化锻炼。CDT分为两个阶段——强化阶段,在此阶段,每天进行治疗,为期两到四周;维持阶段,在此阶段,尤其要持续进行加压治疗,以巩固第一阶段取得的积极效果。治疗应在病情早期开始,目标是使患者恢复到无症状的潜伏阶段。淋巴水肿的治疗不考虑单独的手法淋巴引流或基于设备的消肿治疗。迄今为止,包括硒在内的各种药物的疗效尚未得到证实。