家庭改良综合消肿疗法治疗下肢淋巴水肿的效果。
Results of home-based modified combined decongestive therapy in patients with lower extremity lymphedema.
出版信息
Turk J Med Sci. 2019 Apr 18;49(2):610-616. doi: 10.3906/sag-1809-25.
BACKGROUND/AIM: The aim of this study is to present the results of modified combined decongestive therapy (CDT) in patients with lower extremity lymphedema (LEL).
MATERIALS AND METHODS
We retrospectively reviewed 95 patients aged 55.84 ± 15.70 years who had been diagnosed with LEL between May 2015 and May 2017. The patients were treated for 4 weeks with modified CDT, including self-manual lymphatic drainage, self-bandaging, decongestive exercises, and skin care.
RESULTS
The mean reduction amounts of edema volume before and after treatment were 296.05, 784.92, and 1038.50 mL for stages 1, 2, and 3 respectively (P = 0.001). There were significant differences between the values before and after treatment in excess extremity volume (EEV) at all stages (P = 0.001). The EEV percentages of the secondary LEL patients were higher than those of the primary LEL patients (P = 0.04). There was no correlation between BMI and treatment response in terms of EEV percentages (r = –0.99; P = 0.36).
CONCLUSION
Our results revealed that home-based modified CDT is more effective in reducing extremity edema volume in secondary LEL than primary LEL. It should be an available method for self-management of LEL at all stages.
背景/目的：本研究旨在介绍改良联合减压疗法（CDT）在下肢淋巴水肿（LEL）患者中的治疗结果。
材料和方法
我们回顾性分析了 2015 年 5 月至 2017 年 5 月期间诊断为 LEL 的 95 例年龄为 55.84±15.70 岁的患者。这些患者接受了 4 周的改良 CDT 治疗，包括自我手动淋巴引流、自我绷带包扎、减压运动和皮肤护理。
结果
治疗前后水肿体积的平均减少量分别为 1 期 296.05ml、2 期 784.92ml 和 3 期 1038.50ml（P=0.001）。所有阶段的过度肢体体积（EEV）治疗前后均有显著差异（P=0.001）。继发性 LEL 患者的 EEV 百分比高于原发性 LEL 患者（P=0.04）。BMI 与 EEV 百分比的治疗反应之间无相关性（r=-0.99；P=0.36）。
结论
我们的结果表明，家庭为基础的改良 CDT 在减少继发性 LEL 肢体水肿方面比原发性 LEL 更有效。它应该是所有阶段 LEL 自我管理的一种有效方法。
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