Castro-Sánchez Adelaida María, Moreno-Lorenzo Carmen, Matarán-Peñarrocha Guillermo A, Aguilar-Ferrándiz María Encarnación, Almagro-Céspedes Isabel, Anaya-Ojeda Juan
Departamento de Enfermería y Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Almería, Almería, España.
Med Clin (Barc). 2011 Jul 23;137(5):204-7. doi: 10.1016/j.medcli.2010.09.020. Epub 2010 Dec 8.
Secondary lymphoedema is considered one of the most common complications after breast cancer surgery. The aim of the present study was to analyze the effectiveness of containment elastic orthosis and manual lymphatic drainage in the prevention of lymphoedema secondary to mastectomy.
An experimental study was performed with a control group. Forty-eight patients were randomly assigned to experimental (containment elastic orthosis and manual lymphatic drainage) and control (postural measures) groups. Outcomes measures were quality of life, body composition, temperature, functional assessment of the shoulder, pain and limb volume. Measures were performed at baseline and after 8-months intervention.
After the intervention period, the experimental group showed significant differences (P<.05) in the quality of life, extracellular water, and functional assessment of the volume of the limb of the mastectomized side.
The application of containment elastic orthosis and manual lymphatic drainage contribute to prevent secondary lymphoedema after breast cancer surgery, improving the quality of life in these patients.
继发性淋巴水肿被认为是乳腺癌手术后最常见的并发症之一。本研究的目的是分析弹力约束矫形器和手法淋巴引流在预防乳房切除术后继发性淋巴水肿方面的有效性。
进行了一项有对照组的实验研究。48例患者被随机分为实验组（弹力约束矫形器和手法淋巴引流）和对照组（姿势措施）。观察指标包括生活质量、身体成分、体温、肩部功能评估、疼痛和肢体体积。在基线和8个月干预后进行测量。
干预期后，实验组在生活质量、细胞外液以及患侧乳房切除肢体体积的功能评估方面显示出显著差异（P<0.05）。
弹力约束矫形器和手法淋巴引流的应用有助于预防乳腺癌手术后的继发性淋巴水肿，改善这些患者的生活质量。
