Ergin Gülbin, Şahinoğlu Ertan, Karadibak Didem, Yavuzşen Tuğba
1 Department of Physical Therapy and Rehabilitation, Health Science Faculty, European University of Lefke , Lefke, Turkey .
2 Dr. İsmail Atabek Physical Therapy and Rehabilitation Center , İzmir, Turkey .
Lymphat Res Biol. 2018 Dec;16(6):553-558. doi: 10.1089/lrb.2017.0060. Epub 2018 Oct 19.
Complex decongestive physiotherapy (CDP) is an effective treatment for patients with breast cancer-related lymphedema (BCRL). Bandaging is an important component of CDP. Although the literature suggests that bandages must be kept on for about 24 hours, some patients cannot tolerate keeping them on for this length of time. Also, it has been observed that limb volume decreased in patients who did not keep bandages on for 24 hours in clinical trials. But there is no evidence that this reduction in time is statistically significant. Our purpose was to compare the effectiveness of bandage compliance for a longer or a shorter period on limb volume in patients with BCRL.
We retroprospectively reviewed the medical records of 39 patients who received CDP. Twenty-eight eligible patients were divided into two groups, group 1 (n = 18) and group 2 (n = 10), according to the average number of hours of bandage compliance, which was 13-24 and 7-12 hours, respectively. The primary outcome was the change in limb volume between groups. The values for the limb volumes showed a statistically significant decrease in both groups. There was no significant difference in volume reduction between the groups.
This study shows that keeping bandages on for between about 12 and 24 hours has the same effect on patients with BCRL as receiving CDP.
综合消肿物理治疗（CDP）是治疗乳腺癌相关淋巴水肿（BCRL）患者的一种有效方法。包扎是CDP的一个重要组成部分。尽管文献表明绷带必须包扎约24小时，但一些患者无法耐受这么长时间的包扎。此外，在临床试验中观察到，未包扎24小时的患者肢体体积有所减小。但尚无证据表明这种时间缩短具有统计学意义。我们的目的是比较BCRL患者长时间或短时间绷带依从性对肢体体积的影响。
我们回顾性分析了39例接受CDP治疗患者的病历。根据绷带依从性的平均小时数，将28例符合条件的患者分为两组，第1组（n = 18）和第2组（n = 10），分别为13 - 24小时和7 - 12小时。主要结局是两组之间肢体体积的变化。两组肢体体积值均显示出统计学上的显著下降。两组之间的体积减少没有显著差异。
本研究表明，对于BCRL患者，包扎约12至24小时与接受CDP具有相同的效果。
