Keeley Vaughan
Derby Hospitals NHS Foundation Trust.
Br J Community Nurs. 2008 Apr;13(4):S4, S6, S8-10. doi: 10.12968/bjcn.2008.13.Sup2.29394.
Chronic oedema is mainly treated by physical methods (compression, lymphatic drainage, massage and exercise), with drugs not having a major role to play. However, antibiotics are essential in the management of cellulitis, a common and important complication of chronic oedema. Diuretics and cortico-steroids may be appropriate in some types of oedema such as that associated with advanced cancer. Analgesics may be helpful in managing pain, particularly in the short term e.g. pain from cellulitis, although long-term use may also be appropriate, e.g. in cancer pain. Benzopyrones are not routinely used in the management of lymphoedema in the UK.
慢性水肿主要通过物理方法(加压、淋巴引流、按摩和运动)进行治疗,药物作用不大。然而,抗生素对于蜂窝织炎的治疗至关重要,蜂窝织炎是慢性水肿常见且重要的并发症。利尿剂和皮质类固醇可能适用于某些类型的水肿,如与晚期癌症相关的水肿。镇痛药可能有助于缓解疼痛,尤其是在短期内,例如蜂窝织炎引起的疼痛,不过长期使用也可能是合适的,例如在癌症疼痛中。在英国,苯并吡喃类药物通常不用于淋巴水肿的治疗。