晚期癌症患者姑息治疗中皮下引流治疗下肢水肿
Treatment of lower extremity edema by subcutaneous drainage in palliative care of advanced cancer patients.
作者信息
Bar-Sela Gil, Omer Anat, Flechter Ezequiel, Zalman Daniela
机构信息
Division of Oncology, Rambam-Health Care Campus, and Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
出版信息
Am J Hosp Palliat Care. 2010 Jun;27(4):272-5. doi: 10.1177/1049909109352660. Epub 2009 Dec 3.
BACKGROUND
Lower extremity edema is a problem in patients with advanced cancer, causing decreased physical function and reduced movement.
METHODS
Eight patients with advanced cancer were treated by subcutaneous needles inserted in the inner and outer sides of the ankles and attached to an enclosed drainage bag, or by creating subcutaneous tracts in both ankles.
RESULTS
All patients lost weight after 24 hours. A total of 4 patients reported enhanced mobilization and 5 patients had significant improvement of mobilization that improved their quality of life.
CONCLUSIONS
Subcutaneous drainage can improve edema in the lower limbs or the lower body segment, contributing to patient comfort at his end-of-life period. A prospective study with better evaluation of patient quality of life is ongoing in our center.
背景
下肢水肿是晚期癌症患者面临的一个问题，会导致身体功能下降和活动减少。
方法
对8例晚期癌症患者进行治疗，在双侧脚踝内外侧插入皮下针并连接封闭引流袋，或在双侧脚踝建立皮下通道。
结果
所有患者在24小时后体重减轻。共有4例患者报告活动能力增强，5例患者的活动能力有显著改善，生活质量得到提高。
结论
皮下引流可改善下肢或下半身的水肿，有助于提高患者临终期的舒适度。我们中心正在进行一项前瞻性研究，以更好地评估患者的生活质量。
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