Titon J P, Barsotti J, Gaisne E, Vaillant L
Département de Lymphologie, CHU Trousseau, Tours.
J Mal Vasc. 1990;15(3):270-6.
116 physicians out of the 1000 who were questioned use pressure-therapy in the treatment of lymphedema of the extremities. Another 170 are interested in the technique and await this report before possibly adopting it. Overall, the devices utilized are compartmented and use discontinued pressure that is asynchronous in relations to heart beat; each session lasts 30 minutes, on average, with compression and resting phases lasting 45 seconds and 15 seconds, respectively. The usual schedule is one session daily, three days per week, in two series clustered within a single year. Although manual drainage of lymphatics is combined with pressure-therapy in 71.55% of the times, only 43.47% of physicians use elastic support following the treatment. Results are good or very good in 64.4% of cases, and the incidence of post-therapeutic events is rather low (polyuria, pain recrudescence of lymphangitis, etc.). Aside from lymphedema, venous insufficiency, hypodermitis and leg ulcers may also benefit from pressure-therapy.
在接受询问的1000名医生中,有116名使用压力疗法治疗四肢淋巴水肿。另外170名对该技术感兴趣,在可能采用之前等待这份报告。总体而言,所使用的设备是分室的,使用与心跳不同步的间断压力;每个疗程平均持续30分钟,压缩阶段和休息阶段分别持续45秒和15秒。通常的安排是每天一个疗程,每周三天,在一年内分两个系列进行。尽管71.55%的情况下淋巴管手动引流与压力疗法相结合,但只有43.47%的医生在治疗后使用弹性支撑。64.4%的病例结果良好或非常好,治疗后事件的发生率相当低(多尿、淋巴管炎疼痛复发等)。除了淋巴水肿外,静脉功能不全、皮下炎和腿部溃疡也可能从压力疗法中受益。