Todd Marie, Key Margaret, Rice Margaret, Salmon Michelle
Greater Glasgow and Clyde NHS.
Br J Community Nurs. 2017 May 1;22 Suppl 5(Sup5):S42-S47. doi: 10.12968/bjcn.2017.22.Sup5.S42.
An audit of 100 new patients attending a specialist lymphoedema clinic revealed 52% presented with chronic oedema. More than half (58%) of the chronic oedema group presented with skin changes whereas 14% of those with lipoedema, 4% with lymphoedema of the arm, and 8% with lymphoedema of the leg developed skin changes. None of the primary lymphoedema group developed skin changes. Chronic venous disease (CVD) was significantly more prevalent in the chronic oedema group. More patients with bilateral chronic oedema suffered from cellulitis (41%) compared to unilateral (27%). Skin changes, CVD and red leg syndrome (RLS) also occur more often in bilateral leg swelling. Incidence of cellulitis is highest in the chronic oedema group (36.5%), closely followed by the primary lymphoedema group (33.3%). 85% of the patients who were weighed (n=93) were overweight, 39% obese, and 29% morbidly obese. The findings from this audit highlight the importance of skin care training for community nurses managing chronic oedema patients.
对一家专科淋巴水肿诊所的100名新患者进行的一项审计显示，52%的患者存在慢性水肿。慢性水肿组中超过一半（58%）出现皮肤改变，而脂肪水肿患者中有14%、手臂淋巴水肿患者中有4%、腿部淋巴水肿患者中有8%出现皮肤改变。原发性淋巴水肿组中无人出现皮肤改变。慢性静脉疾病（CVD）在慢性水肿组中更为普遍。与单侧慢性水肿患者（27%）相比，双侧慢性水肿患者患蜂窝织炎的比例更高（41%）。皮肤改变、CVD和红腿综合征（RLS）在双侧腿部肿胀患者中也更常出现。蜂窝织炎的发病率在慢性水肿组中最高（36.5%），其次是原发性淋巴水肿组（33.3%）。称重的患者（n = 93）中有85%超重，39%肥胖，29%病态肥胖。此次审计的结果凸显了为管理慢性水肿患者的社区护士提供皮肤护理培训的重要性。
