Modaghegh Mohammad-Hadi Saeed, Soltani Ehsan
Department of Vascular Surgery, Mashhad Vascular and Endovascular Research, Center Imam Reza University Hospital, Ibne Sina Street, Mashhad, Iran.
Indian J Surg. 2010 Feb;72(1):32-6. doi: 10.1007/s12262-010-0006-7. Epub 2010 Feb 5.
Using (Sequential) intermittent pneumatic compression (SIPC) is one of the most appropriate nonsurgical treatments for lymphoedema. In this study, we introduce a new mode for SIPC and evaluate its clinical results with higher pressures.
Participants included 43 lower limb lymphoedema patients who underwent high pressure SIPC. Limb circumference pre- and post-SIPC were evaluated.
The mean reduction of the affected limb oedema was approximately 75%, which is regarded as a good response to the short-term treatment. Patients with disease duration more than 20 years didn't show a good or excellent response. Also the foot area had the least degree of reduction of oedema.
We concluded that, the suggested mode may provide more acceptable results compared with the other This mode allows unidirectional forward lymph flow and associated high pressure usage well tolerated in chronic cases of the disease.
使用(序贯)间歇性气动压迫(SIPC)是治疗淋巴水肿最合适的非手术方法之一。在本研究中,我们介绍一种SIPC的新模式,并评估其在更高压力下的临床效果。
研究对象包括43例接受高压SIPC治疗的下肢淋巴水肿患者。评估SIPC前后的肢体周长。
患侧肢体水肿平均减轻约75%,这被认为是对短期治疗的良好反应。病程超过20年的患者未表现出良好或极佳的反应。而且足部区域水肿减轻程度最小。
我们得出结论,与其他模式相比,建议的模式可能会提供更可接受的结果。这种模式允许单向向前的淋巴流动,并且在该疾病的慢性病例中,相关的高压使用耐受性良好。