Multidisciplinary Thoracic Oncology, Ellis Fischel Cancer Center, Columbia, MO, USA.
Semin Oncol Nurs. 2013 Feb;29(1):28-40. doi: 10.1016/j.soncn.2012.11.005.
To review exercise, surgical treatment, and intermittent pneumatic compression in the risk reduction and treatment of lymphedema, and to provide applications of the evidence to the care of the oncology patient with or at risk for lymphedema.
Systematic reviews of the contemporary literature (2004-2010) examining exercise, surgical treatment, and intermittent pneumatic compression use in lymphedema therapy, peer-reviewed publications, and web sites of professional organizations.
Exercise and intermittent pneumatic compression are effective therapies and can be safely implemented in appropriate patients as an adjunct to complete decongestive therapy. Surgical treatments have proven beneficial in carefully selected patients, but require continued use of life-long compression therapy. Intermittent pneumatic compression devices are a safe adjunctive treatment option for in-home use in appropriate patients at low to moderate pressure ranges, following and in conjunction with complete decongestive therapy.
Informed oncology nurses can assist patients in an individualized, integrated multimodality approach to lymphedema therapy.
回顾运动、手术治疗和间歇性气动压迫在减少和治疗淋巴水肿方面的作用，并将这些证据应用于有或有淋巴水肿风险的肿瘤患者的护理中。
对 2004 年至 2010 年间检查运动、手术治疗和间歇性气动压迫在淋巴水肿治疗中的应用的当代文献进行系统回顾，以及同行评议的出版物和专业组织的网站。
运动和间歇性气动压迫是有效的治疗方法，可在适当的患者中安全地与完整的消肿治疗联合应用。手术治疗在经过精心挑选的患者中已被证明是有益的，但需要持续使用终身的压缩治疗。间歇性气动压迫装置是在适当的患者中在低至中等压力范围内，在完整的消肿治疗后或与其同时，用于家庭使用的安全辅助治疗选择。
有知识的肿瘤护士可以帮助患者采用个体化、综合的多模式方法进行淋巴水肿治疗。
