Pereira De Godoy J M, Franco Brigidio P A, Salles Cunha S X, Batigália F, De Fatima Guerreiro Godoy M
Cardiology and Cardiovascular Surgery Department of the Medicine School in São José do Rio Preto FAMERP, Brazil.
Int Angiol. 2013 Oct;32(5):479-82.
The aim of the current study was to evaluate fluid mobilization during the intensive treatment of leg lymphedema.
The mobilization of intracellular and extracellular fluids in the lower and upper extremities and trunk was evaluated with the intensive treatment of leg lymphedema in a prospective study. Mobilization of fluids was assessed by bioelectrical impedance using the InBody S10 device in ten patients with leg lymphedema, regardless of the cause. Treatment consisted of six to eight hours per day of Manual Lymphatic Therapy (Godoy & Godoy technique), Mechanical Lymphatic Therapy (RAGodoy device®) and a non-elastic cotton-polyester stocking.
A significant reduction in total water was observed for the lymphedematous limb, but with an increase in intracellular water of from 59% to 61%. Additionally, total water increases were observed in the limbs without lymphedema and in the trunk. There was an increase in total intracellular water of the extremities and trunk, but without any change in the extracellular water. In high-volume reductions during lymphedema treatment, fluids are displaced from the lymphedematous limb to extremities without lymphedema and to the trunk.
本研究旨在评估腿部淋巴水肿强化治疗期间的液体动员情况。
在一项前瞻性研究中，通过对腿部淋巴水肿进行强化治疗，评估下肢、上肢和躯干细胞内液和细胞外液的动员情况。使用InBody S10设备通过生物电阻抗评估10名腿部淋巴水肿患者（病因不限）的液体动员情况。治疗包括每天6至8小时的手动淋巴治疗（戈多伊和戈多伊技术）、机械淋巴治疗（RAGodoy设备®）以及非弹性棉聚酯袜套。
观察到淋巴水肿肢体的总体水含量显著降低，但细胞内水含量从59%增加到61%。此外，未出现淋巴水肿的肢体和躯干的总体水含量增加。四肢和躯干的细胞内总水量增加，但细胞外水无任何变化。在淋巴水肿治疗期间大量液体减少时，液体从淋巴水肿肢体转移到未出现淋巴水肿的肢体和躯干。
