Dermatovenereology Department, Charles University 2nd Medical School and Bulovka Hospital, Prague, Czech Republic.
Dermatol Ther. 2012 Jul-Aug;25(4):352-7. doi: 10.1111/j.1529-8019.2012.01534.x.
The basic principle of the management of lymphedema is so called complex decongestive physical therapy. This therapy is divided into two phases: (i) edema reduction phase--an initial intensive treatment phase aiming for limb volume reduction; and (ii) maintenance phase--following long-term phase to sustain a manageable limb volume. The first phase consists of a number of physical therapeutic approaches which are: manual lymph drainage, pneumatic pump drainage, low-stretch bandaging, exercises, and skin care. Long-term maintenance phase consists of self-lymph drainage, low-stretch bandaging, or compressive garments, and sometimes when indicated pneumatic pump drainage, exercises, and skin care.
淋巴水肿管理的基本原则是所谓的复杂消肿物理治疗。这种治疗分为两个阶段：（i）消肿阶段——初始强化治疗阶段，旨在减少肢体体积；和（ii）维持阶段——长期阶段，以维持可管理的肢体体积。第一阶段包括多种物理治疗方法，即：手动淋巴引流、气动泵引流、低弹性绷带包扎、运动和皮肤护理。长期维持阶段包括自我淋巴引流、低弹性绷带包扎或压缩服装，有时在需要时还包括气动泵引流、运动和皮肤护理。
