Kim Yoon, Kim Seonghee, Lim Ji Young, Hwang Chea Min, Ko Myoung-Hwan, Hwang Ji Hye
Department of Physical and Rehabilitation Medicine, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul 06351, Korea.
Department of Rehabilitation Medicine, National Rehabilitation Center, Seoul 01022, Korea.
Healthcare (Basel). 2022 Mar 28;10(4):638. doi: 10.3390/healthcare10040638.
We conducted a prospective study of cancer patients to investigate the efficacy, quality of life, satisfaction, and safety of a home-based intermittent pneumatic compression (IPC) device during the maintenance phase of lower extremity lymphedema. This device has a unique mode designed to mimic the manual lymphatic drainage (MLD) technique and thereby gently facilitate lymphatic draining of proximal extremities. Thirty patients with stage 3 chronic secondary unilateral leg lymphedema in the maintenance phase underwent IPC and conventional compression therapy for 4 weeks at home. The participants were guided to use 1 h course (30 min of MLD-mimicking mode and 30 min of conventional mode) of IPC device twice a day for 4 weeks. We assessed the patients' limb-volume measurement, quality of life (QOL), and satisfaction four times. There were no significant time-dependent interactions in the inter-limb volume difference ratio (V). In a subgroup analysis, participants who used the home-based IPC device and maintained their routine self-maintenance program of short-stretch bandages (group B, = 21) showed a more significant decline in V than those who did not maintained their routine care (group A, = 9). All scores of QOL decreased significantly after the intervention without subgroup difference. All participants were satisfied with the 4-week intervention. This study demonstrated that a home-based IPC device with an MLD-mimicking program is a useful option for maintaining the volume of limbs and improving the QOL of patients with stage 3 chronic leg lymphedema during the maintenance phase.
我们对癌症患者进行了一项前瞻性研究，以调查一种家用间歇性气动压迫（IPC）装置在下肢淋巴水肿维持阶段的疗效、生活质量、满意度和安全性。该装置具有一种独特模式，旨在模拟手动淋巴引流（MLD）技术，从而轻柔地促进近端肢体的淋巴引流。30例处于维持阶段的3期慢性继发性单侧腿部淋巴水肿患者在家中接受了4周的IPC和传统压迫治疗。指导参与者每天使用IPC装置1小时疗程（30分钟MLD模拟模式和30分钟传统模式），持续4周。我们对患者的肢体体积测量、生活质量（QOL）和满意度进行了4次评估。肢体间体积差异率（V）没有显著的时间依赖性相互作用。在亚组分析中，使用家用IPC装置并维持其短拉伸绷带常规自我维持方案的参与者（B组，n = 21）的V下降幅度比未维持其常规护理的参与者（A组，n = 9）更大。干预后所有QOL评分均显著下降，无亚组差异。所有参与者对为期4周的干预都很满意。本研究表明，具有MLD模拟程序的家用IPC装置是维持3期慢性腿部淋巴水肿患者肢体体积和改善其维持阶段生活质量的一种有用选择。
